West Third Dental Care Center

NPI 1508051228 - Dentist - 1223G0001X

NPI Details
NPI 1508051228
Enumeration Date 09/06/2007
Last Updated 09/06/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name WILLIAM M WILLIAM
Position PRESIDENT
Phone (904) 356-0243
Fax (904) 356-0602
Practice Location
235 W 3RD STREET
JACKSONVILLE FL, 32206-4910, US
Phone (904) 356-0243
Fax (904) 356-0602
Business Location
235 W 3RD STREET
JACKSONVILLE FL, 32206-4910, US
Phone (904) 646-3089
Fax (904) 356-0602
Toxanomy
Taxonomy Code 1223G0001X
License State Florida
License Number DN005701
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According to our database, West Third Dental Care Center NPI is 1508051228, taxonomy code is 1223G0001X and license number is DN005701, license state is located at Florida. West Third Dental Care Center physically located at 235 W 3rd Street, Jacksonville FL, 32206-4910. NPI Number 1033115704 has the healthcare provider type.

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1508051228 NPI number is provided on an as is basis without warranty of any kind. 1508051228 is maintained by the National Plan & Provider Enumeration System. The contents of West Third Dental Care Center are for informational purposes only.