First Coast Dental Group, PA

NPI #1336495274 in Neptune Beach, Florida

Provider Information

NPI Number
1336495274
Entity Type
Organization
Organization Name
First Coast Dental Group, PA
Primary Specialty
Dentist - General Practice
Enumeration Date
Jul 30, 2012
Last Updated
Jul 30, 2012

Practice Location

Address
802 3RD ST
State
Florida
ZIP Code
32266-5018
Phone
(904) 247-0111

Authorized Official

Name
DR. ANTHONY RAMIRO CORRAL, DMD
Title
CEO
Phone
(904) 247-0111

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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