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1811103732
BERT ANTHONY TAVARY
ST AUGUSTINE, FL
NPI
1811103732
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: FL DN 8627)
Enumeration Date
2007-05-15
Last Update Date
2007-07-08
Business Address
Dr. BERT ANTHONY TAVARY D.D.S.
700 ANASTASIA BLVD
ST AUGUSTINE, FL 32080-4616
Phone number: 904-824-3540
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Mailing Address
Dr. BERT ANTHONY TAVARY D.D.S.
700 ANASTASIA BLVD
ST AUGUSTINE, FL 32080-4616
Phone number: 904-824-3540
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