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1588823033
PONTE VEDRA FAMILY DENTISTRY
PONTE VEDRA BEACH, FL
NPI
1588823033
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Entity Type
Organization
Authorized Contact
GEOFFREY A. BANGA
Dentist
904-280-1200
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: FL DN16658)
Enumeration Date
2008-06-09
Last Update Date
2012-02-22
Business Address
PONTE VEDRA FAMILY DENTISTRY
7000 SAWGRASS VILLAGE CIR
PONTE VEDRA BEACH, FL 32082-5014
Phone number: 904-280-1200
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Mailing Address
PONTE VEDRA FAMILY DENTISTRY
7000 SAWGRASS VILLAGE CIR SUITE 326
PONTE VEDRA BEACH, FL 32082-5014
Phone number: 904-280-1200
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