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1225764202
SCOTT POORTINGA
JACKSONVILLE, FL
NPI
1225764202
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: FL DN27403)
Enumeration Date
2022-08-01
Last Update Date
2022-08-02
Business Address
Dr. SCOTT POORTINGA DDS
1403 DUNN AVE STE 10
JACKSONVILLE, FL 32218-4870
Phone number: 904-884-1188
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Mailing Address
Dr. SCOTT POORTINGA DDS
697 FRIARGATE CT
JACKSONVILLE, FL 32225-5624
Phone number: 904-884-1188
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