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San Juan Dentistry Pa
Dental Clinic/Center in Jacksonville, Florida
NPI 1548926835

San Juan Dentistry Pa is a Dental Clinic/Center based in Jacksonville, FL and is specialized in Dental. San Juan Dentistry Pa practices in Jacksonville, FL. The NPI Number for San Juan Dentistry Pa is 1548926835 and holds a License No. (Florida).

The current practice location address for San Juan Dentistry Pa is 5110 San Juan Ave, Jacksonville, FL and can be reached out via phone at 904-551-3083 and via fax at 904-647-9485.

Location: 5110 San Juan Ave, Jacksonville, FL, 32210
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548926835
Provider Name
San Juan Dentistry Pa
Credential
Provider Entity Type
Organization
Address
5110 San Juan Ave, Jacksonville, FL, 32210
Phone Number
904-551-3083
Fax Number
904-647-9485
Provider Enumeration Date
11/11/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5110 San Juan Ave
City
Jacksonville
State
Florida
Zip
32210
Phone Number
904-551-3083
Fax Number
904-647-9485
person
Provider Business Mailing Address Details
Address
5110 San Juan Ave
City
Jacksonville
State
Florida
Zip
32210
Phone Number
904-551-3083
Fax Number
904-647-9485
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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