Amando Dental Corporation
NPI #1275739237 in Jacksonville, Florida
Provider Information
- NPI Number
- 1275739237
- Entity Type
- Organization
- Organization Name
- Amando Dental Corporation
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Jun 26, 2007
- Last Updated
- Jan 26, 2015
Practice Location
- Address
- 4540 SOUTHSIDE BLVD
- Address 2
- SUITE 801
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32216-5492
- Phone
- (904) 642-2010
Authorized Official
- Name
- CRYSTAL L LESS
- Title
- VP OF OPERATIONS
- Phone
- (904) 998-7000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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