PROFESSIONAL DENTAL ALLIANCE OF JACKSONVILLE SAN JOSE, PLLC

JACKSONVILLE, FL
NPI1578113254
Entity TypeOrganization
Authorized ContactLAUREN HOWARD
Credentialing Specialist
757-576-5479
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2019-09-16
Last Update Date2019-09-16
Business Address
PROFESSIONAL DENTAL ALLIANCE OF JACKSONVILLE SAN JOSE, PLLC
9776 SAN JOSE BLVD STE 7
JACKSONVILLE, FL 32257-5464
Phone number: 904-201-3565
Mailing Address
PROFESSIONAL DENTAL ALLIANCE OF JACKSONVILLE SAN JOSE, PLLC
11 S MILL ST STE 200
NEW CASTLE, PA 16101-3680
Phone number:
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