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1255067179
IDEAL DENTAL SOUTH JACKSONVILLE PLLC
JACKSONVILLE, FL
NPI
1255067179
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Entity Type
Organization
Authorized Contact
MATTHEW DOAN
Owner
972-331-8079
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
Enumeration Date
2022-07-25
Last Update Date
2023-10-04
Business Address
IDEAL DENTAL SOUTH JACKSONVILLE PLLC
5753 BEACH BOULEVARD UNIT #4
JACKSONVILLE, FL 32207
Phone number: 904-441-1642
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Mailing Address
IDEAL DENTAL SOUTH JACKSONVILLE PLLC
PO BOX 840925
DALLAS, TX 75284-0925
Phone number: 972-361-0600
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