Atlantic Dentistry PA
NPI #1043792534 in Jacksonville, Florida
Provider Information
- NPI Number
- 1043792534
- Entity Type
- Organization
- Organization Name
- Atlantic Dentistry PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 31, 2018
- Last Updated
- Aug 31, 2018
Practice Location
- Address
- 13474 ATLANTIC BLVD STE 109
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32225-0100
- Phone
- (904) 647-1800
Authorized Official
- Name
- SARA BASTOS
- Title
- OFFICE MANAGER
- Phone
- (904) 647-1800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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