| NPI | 1952192221 |
|---|---|
| Doing Business As | JACKSONVILLE EMERGENCY DENTAL - NORTH, PLLC |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY MUSCARO Owner Dentist 813-692-2200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-05-15 |
| Last Update Date | 2025-09-02 |