The Village Dentist

NPI #1205132503 in St Augustine, Florida

Provider Information

NPI Number
1205132503
Entity Type
Organization
Organization Name
The Village Dentist
Primary Specialty
Dentist - General Practice
Enumeration Date
Feb 3, 2011
Last Updated
Feb 3, 2011

Practice Location

Address
425 W TOWN PL
Address 2
SUITE 106
State
Florida
ZIP Code
32092-3661
Phone
(904) 940-7990

Authorized Official

Name
MICHELE GIBSON
Title
OFFICE MANAGER
Phone
(904) 940-7990

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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