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1114641339
GUIDED SMILES PROSTHODONTICS & IMPLANT CENTER PLLC
PONTE VEDRA, FL
NPI
1114641339
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Entity Type
Organization
Authorized Contact
ALONZO CARLOS BLACKMON
Authorized Official
904-395-5501
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2022-09-30
Last Update Date
2022-09-30
Business Address
GUIDED SMILES PROSTHODONTICS & IMPLANT CENTER PLLC
153 FORT WADE ROAD STE 100
PONTE VEDRA, FL 32081
Phone number: 904-395-5501
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Mailing Address
GUIDED SMILES PROSTHODONTICS & IMPLANT CENTER PLLC
153 FORT WADE ROAD STE 100
PONTE VEDRA, FL 32081
Phone number:
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