Economy Dentistry for Children Children's General Dentistry , LLC
NPI #1225317423 in Jacksonville, Florida
Provider Information
- NPI Number
- 1225317423
- Entity Type
- Organization
- Organization Name
- Economy Dentistry for Children Children's General Dentistry , LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 5, 2011
- Last Updated
- Nov 14, 2012
Practice Location
- Address
- 1680 DUNN AVE
- Address 2
- #31
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32218-4782
- Phone
- (904) 714-6939
Authorized Official
- Name
- MR. LEROY R POLITE, DMD
- Title
- PRESIDENT
- Phone
- (904) 714-6939
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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