Park Avenue Dental
NPI #1033373022 in Gainesville, Florida
Provider Information
- NPI Number
- 1033373022
- Entity Type
- Organization
- Organization Name
- Park Avenue Dental
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 18, 2008
- Last Updated
- Jul 18, 2008
Practice Location
- Address
- 912 NW 56TH TER STE B
- City
- Gainesville
- State
- Florida
- ZIP Code
- 32605-6404
- Phone
- (352) 331-7573
Authorized Official
- Name
- DR. SHANE NELIS GOSLINGA, DMD
- Title
- OWNER
- Phone
- (352) 331-7573
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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