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1265133185
FL SOUTHERN DENTAL PA
ST AUGUSTINE, FL
NPI
1265133185
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Entity Type
Organization
Authorized Contact
CHRISTINE NELSON
VP, Revenue Cycle
469-596-6011
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2023-03-16
Last Update Date
2023-03-16
Business Address
FL SOUTHERN DENTAL PA
100 WHETSTONE PL STE 308
ST AUGUSTINE, FL 32086-5775
Phone number: 904-810-2345
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Mailing Address
FL SOUTHERN DENTAL PA
5830 GRANITE PKWY STE 780
PLANO, TX 75024-6775
Phone number: 469-596-6011
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