| NPI | 1083969687 |
|---|---|
| Doing Business As | ADVANCED DENTAL SERVICES OF JACKSONVILLE |
| Entity Type | Organization |
| Authorized Contact | KAMI RUDOLPH Practice Administrator 904-285-8407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN 18277) |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2012-07-19 |