| NPI | 1194235689 |
|---|---|
| Doing Business As | JACKSONVILLE COMPLETE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | RYAN JOHNSON Owner 904-751-4958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2017-10-10 |