Ponte Vedra Complete Dentistry, PA

NPI #1346260155 in Ponte Vedra, Florida

Provider Information

NPI Number: 1346260155
Entity Type: Organization
Organization Name: Ponte Vedra Complete Dentistry, PA
Primary Specialty: Dentist
Enumeration Date: Jul 21, 2006
Last Updated: Feb 7, 2017

Practice Location

Address: 105 SOLANA RD STE A
City: Ponte Vedra
State: Florida
ZIP Code: 32082-5229
Phone: (904) 285-7711

Authorized Official

Name: ERIC L TOWNSEND, DDS
Title: PRESIDENT
Phone: (904) 285-7711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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