MANDARIN SOUTH DENTISTRY PA

JACKSONVILLE, FL
NPI1699218800
Entity TypeOrganization
Authorized ContactNANJAPPA SHIVASHANAKR
President
904-268-7552
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: FL  DN9317)
Enumeration Date2016-11-21
Last Update Date2016-11-21
Business Address
MANDARIN SOUTH DENTISTRY PA
12421 SAN JOSE BLVD STE 2A
JACKSONVILLE, FL 32223-8663
Phone number: 904-268-7552
Mailing Address
MANDARIN SOUTH DENTISTRY PA
12421 SAN JOSE BLVD STE 2A
JACKSONVILLE, FL 32223-8663
Phone number: 904-268-7552
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