PONCE DE LEON FAMILY DENTISTRY

SAINT AUGUSTINE, FL
NPI1801059480
Entity TypeOrganization
Authorized ContactTHEODORE DANIEL HAEUSSNER
Dentist
904-797-8247
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center Dental
Enumeration Date2008-07-03
Last Update Date2008-07-03
Business Address
PONCE DE LEON FAMILY DENTISTRY
4 SAINT JOHNS MEDICAL PK DR
SAINT AUGUSTINE, FL 32086-5298
Phone number: 904-797-9009
Mailing Address
PONCE DE LEON FAMILY DENTISTRY
4 SAINT JOHNS MEDICAL PK DR
SAINT AUGUSTINE, FL 32086-5298
Phone number: 904-797-9009
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