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1033465349
REGENCY SQUARE MALL DENTAL
JACKSONVILLE, FL
NPI
1033465349
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Entity Type
Organization
Authorized Contact
ROSTISLAV KRASNOV
Owner
904-727-6055
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: FL dn16377)
Enumeration Date
2012-07-24
Last Update Date
2014-12-03
Business Address
REGENCY SQUARE MALL DENTAL
9501 ARLINGTON EXPY STE#0345
JACKSONVILLE, FL 32225-8200
Phone number: 904-727-6055
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Mailing Address
REGENCY SQUARE MALL DENTAL
9501 ARLINGTON EXPY STE#0345
JACKSONVILLE, FL 32225-8200
Phone number: 904-727-6055
Copy
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