| NPI | 1720797442 |
|---|---|
| Doing Business As | JACKSONVILLE COMPLETE DENTISTRY |
| Former Legal Business Name | JACKSONVILLE COMPLETE DENTISTRY PLLC |
| Entity Type | Organization |
| Authorized Contact | JONATHAN A MONTOYA Owner 919-321-7824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2022-11-21 |