Jjk Dmd PA

NPI #1427504141 in Maitland, Florida

Provider Information

NPI Number: 1427504141
Entity Type: Organization
Organization Name: Jjk Dmd PA
Primary Specialty: Dentist
Enumeration Date: Sep 1, 2016
Last Updated: Sep 1, 2016

Practice Location

Address: 200 SENECA TRL
City: Maitland
State: Florida
ZIP Code: 32751-4949
Phone: (321) 299-4059

Authorized Official

Name: DR. JUSTIN J KATSUR, DMD
Title: PRESIDENT
Phone: (321) 299-4059

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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