| NPI | 1467283523 |
|---|---|
| Doing Business As | OCEANSIDE DENTAL OF JACKSONVILLE |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY HOUK Practice Manager 208-716-0415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2024-08-12 |