| 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 |