Ideal Dental St Johns Pllc

NPI #1073344917 in St Johns, Florida

Provider Information

NPI Number: 1073344917
Entity Type: Organization
Organization Name: Ideal Dental St Johns Pllc
Primary Specialty: Dentist
Enumeration Date: Aug 12, 2024
Last Updated: Sep 11, 2024

Practice Location

Address: 145 BEACHWALK SHORE DR STE 400
City: St Johns
State: Florida
ZIP Code: 32259-1168
Phone: (904) 209-3042

Authorized Official

Name: DR. MATTHEW DOAN, DDS
Title: OWNER
Phone: (972) 331-8067

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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