PONTE VEDRA COSMETIC DENTISTRY, PA

PONTE VEDRA BEACH, FL
NPI1396000329
Entity TypeOrganization
Authorized ContactKAMALA RUDOLPH
Practice Administrator
904-285-8407
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2012-07-05
Last Update Date2012-07-05
Business Address
PONTE VEDRA COSMETIC DENTISTRY, PA
100 PROFESSIONAL DR
PONTE VEDRA BEACH, FL 32082-6216
Phone number: 904-285-8407
Mailing Address
PONTE VEDRA COSMETIC DENTISTRY, PA
100 PROFESSIONAL DR
PONTE VEDRA BEACH, FL 32082-6216
Phone number: 904-285-8407
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