FL SOUTHERN DENTAL PA

ST AUGUSTINE, FL
NPI1265133185
Entity TypeOrganization
Authorized ContactCHRISTINE NELSON
VP, Revenue Cycle
469-596-6011
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2023-03-16
Last Update Date2023-03-16
Business Address
FL SOUTHERN DENTAL PA
100 WHETSTONE PL STE 308
ST AUGUSTINE, FL 32086-5775
Phone number: 904-810-2345
Mailing Address
FL SOUTHERN DENTAL PA
5830 GRANITE PKWY STE 780
PLANO, TX 75024-6775
Phone number: 469-596-6011