NPI | 1558194530 |
---|---|
Doing Business As | NORTH JACKSONVILLE COMPLETE DENTISTRY |
Entity Type | Organization |
Authorized Contact | TIMOTHY BRADBERRY Dentist/Owner 904-553-6474 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2024-08-23 |
Last Update Date | 2024-08-23 |