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1194943076
GREGORY TARANTOLA
ST AUGUSTINE, FL
NPI
1194943076
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: FL dn12415)
Enumeration Date
2007-04-23
Last Update Date
2015-07-30
Business Address
Dr. GREGORY TARANTOLA DDS
559 W TWINCOURT TRL 606
ST AUGUSTINE, FL 32095-8805
Phone number: 904-671-6977
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Mailing Address
Dr. GREGORY TARANTOLA DDS
559 W TWINCOURT TRL 606
ST AUGUSTINE, FL 32095-8805
Phone number: 904-671-6977
Copy
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