Advanced Dental Care Of Jacksonville Pa

NPI 1093849895 - Dentist - 122300000X

NPI Details
NPI 1093849895
Enumeration Date 03/15/2007
Last Updated 05/17/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MIKE MIKE
Position INSURANCE DIRECTOR
Phone (904) 725-4433
Fax
Practice Location
4540 SOUTHSIDE BLVD
1001
JACKSONVILLE FL, 32216-5492, US
Phone (904) 725-4433
Fax
Business Location
4540 SOUTHSIDE BLVD
1001
JACKSONVILLE FL, 32216-5492, US
Phone
Fax
Toxanomy
Taxonomy Code 122300000X
License State
License Number
Remove 1093849895 NPI Number
 

According to our database, Advanced Dental Care Of Jacksonville Pa NPI is 1093849895, taxonomy code is 122300000X Advanced Dental Care Of Jacksonville Pa physically located at 4540 Southside Blvd, Jacksonville FL, 32216-5492. NPI Number 1033115704 has the healthcare provider type.

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1093849895 NPI number is provided on an as is basis without warranty of any kind. 1093849895 is maintained by the National Plan & Provider Enumeration System. The contents of Advanced Dental Care Of Jacksonville Pa are for informational purposes only.