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Islands Edge Dental, Llc
Dental Clinic/Center in St Augustine, Florida
NPI 1861162141

Islands Edge Dental, Llc is a Dental Clinic/Center based in St Augustine, FL and is specialized in Dental. Islands Edge Dental, Llc practices in St Augustine, FL. The NPI Number for Islands Edge Dental, Llc is 1861162141 and holds a License No. (Florida).

The current practice location address for Islands Edge Dental, Llc is 1301 Plantation Island Dr S Ste 104B, St Augustine, FL and can be reached out via phone at 904-461-5566 and via fax at 904-461-0084.

Location: 1301 Plantation Island Dr S Ste 104B, St Augustine, FL, 32080-3110
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861162141
Provider Name
Islands Edge Dental, Llc
Credential
Provider Entity Type
Organization
Address
1301 Plantation Island Dr S Ste 104B, St Augustine, FL, 32080-3110
Phone Number
904-461-5566
Fax Number
904-461-0084
Provider Enumeration Date
09/17/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1301 Plantation Island Dr S Ste 104B
City
St Augustine
State
Florida
Zip
32080-3110
Phone Number
904-461-5566
Fax Number
904-461-0084
person
Provider Business Mailing Address Details
Address
1301 Plantation Island Dr S Ste 104B
City
St Augustine
State
Florida
Zip
32080-3110
Phone Number
904-461-5566
Fax Number
904-461-0084
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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