REGENCY SQUARE MALL DENTAL

JACKSONVILLE, FL
NPI1033465349
Entity TypeOrganization
Authorized ContactROSTISLAV KRASNOV
Owner
904-727-6055
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: FL  dn16377)
Enumeration Date2012-07-24
Last Update Date2014-12-03
Business Address
REGENCY SQUARE MALL DENTAL
9501 ARLINGTON EXPY STE#0345
JACKSONVILLE, FL 32225-8200
Phone number: 904-727-6055
Mailing Address
REGENCY SQUARE MALL DENTAL
9501 ARLINGTON EXPY STE#0345
JACKSONVILLE, FL 32225-8200
Phone number: 904-727-6055