Michael Gagaoudakis Dmd PA

NPI #1346493376 in Ponte Vedra, Florida

Provider Information

NPI Number: 1346493376
Entity Type: Organization
Organization Name: Michael Gagaoudakis Dmd PA
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 4, 2008
Last Updated: Nov 4, 2008

Practice Location

Address: 814 A1A N
Address 2: SUITE 102
City: Ponte Vedra
State: Florida
ZIP Code: 32082-3271
Phone: (904) 686-1576

Authorized Official

Name: DR. MICHAEL E GAGAOUDAKIS, DMD
Title: PRESIDENT
Phone: (904) 686-1576

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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