Bartram Park Dental,pa
NPI #1144410853 in Jacksonville, Florida
Provider Information
- NPI Number
- 1144410853
- Entity Type
- Organization
- Organization Name
- Bartram Park Dental,pa
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 29, 2007
- Last Updated
- Jul 29, 2007
Practice Location
- Address
- 13241 BARTRAM PARK BLVD
- Address 2
- SUITE # 401
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32258-5212
- Phone
- (904) 553-8791
Authorized Official
- Name
- DR. GEORGE A VARGHESE, DDS
- Title
- PRESIDENT
- Phone
- (904) 553-8791
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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