Pediatric Dental Anesthesia Associates, LLC
NPI #1205099769 in Saint Johns, Florida
Provider Information
- NPI Number
- 1205099769
- Entity Type
- Organization
- Organization Name
- Pediatric Dental Anesthesia Associates, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Jul 5, 2008
- Last Updated
- Jul 5, 2008
Practice Location
- Address
- 3408 STATE ROAD 13
- City
- Saint Johns
- State
- Florida
- ZIP Code
- 32259-9270
- Phone
- (904) 230-3188
Authorized Official
- Name
- DR. DENNIS R. STONE, M.D.
- Title
- PRESIDENT
- Phone
- (904) 230-3188
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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