| NPI | 1831731009 |
|---|---|
| Doing Business As | ST JOHNS SMILE CARE |
| Entity Type | Organization |
| Authorized Contact | ANDREW ALLEN DACUNHA President 904-417-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2022-03-22 |