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1063165157
OMAR ALEJANDRO BETANCOURT
JACKSONVILLE, FL
NPI
1063165157
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: FL DTP752)
Enumeration Date
2022-01-31
Last Update Date
2022-01-31
Business Address
OMAR ALEJANDRO BETANCOURT
5491 DOLPHIN POINT BOULEVARD
JACKSONVILLE, FL 32211
Phone number: 904-256-7847
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Mailing Address
OMAR ALEJANDRO BETANCOURT
2800 UNIVERSITY BLVD N
JACKSONVILLE, FL 32211-3394
Phone number: 904-256-7847
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