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Daxon & Grundset Pllc
Dental Clinic/Center in St Petersburg, Florida
NPI 1639599962

Daxon & Grundset Pllc is a Dental Clinic/Center based in St Petersburg, FL and is specialized in Dental. Daxon & Grundset Pllc practices in St Petersburg, FL. The NPI Number for Daxon & Grundset Pllc is 1639599962 and holds a License No. DN 04596 (Florida).

The current practice location address for Daxon & Grundset Pllc is 111 2Nd Ave Ne Ste 1104, St Petersburg, FL and can be reached out via phone at 727-282-1970 and via fax at 727-608-1980.

Location: 111 2Nd Ave Ne Ste 1104, St Petersburg, FL, 33701-3443
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639599962
Provider Name
Daxon & Grundset Pllc
Credential
Provider Entity Type
Organization
Address
111 2Nd Ave Ne Ste 1104, St Petersburg, FL, 33701-3443
Phone Number
727-282-1970
Fax Number
727-608-1980
Provider Enumeration Date
04/25/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
111 2Nd Ave Ne Ste 1104
City
St Petersburg
State
Florida
Zip
33701-3443
Phone Number
727-282-1970
Fax Number
727-608-1980
person
Provider Business Mailing Address Details
Address
111 2Nd Ave Ne Ste 1104
City
St Petersburg
State
Florida
Zip
33701-3443
Phone Number
727-282-1970
Fax Number
727-608-1980
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
DN 04596 (Florida)
Definition
Definition to come...
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