Mobile Dental Head- Start LLC
NPI #1356161293 in Jacksonville, Florida
Provider Information
- NPI Number
- 1356161293
- Entity Type
- Organization
- Organization Name
- Mobile Dental Head- Start LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Oct 15, 2024
- Last Updated
- Oct 24, 2024
Practice Location
- Address
- 1839 LANE AVE S STE 104
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32210-1260
- Phone
- (904) 300-0126
Authorized Official
- Name
- KENJULA BROWN
- Title
- OWNER
- Phone
- (904) 300-0126
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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