Jc Family Dentistry PA

NPI #1518464866 in Saint Johns, Florida

Provider Information

NPI Number: 1518464866
Entity Type: Organization
Organization Name: Jc Family Dentistry PA
Primary Specialty: Dentist
Enumeration Date: Apr 11, 2018
Last Updated: Apr 11, 2018

Practice Location

Address: 485 STATE ROAD 13 STE 4
City: Saint Johns
State: Florida
ZIP Code: 32259-2993
Phone: (904) 230-2961

Authorized Official

Name: JONATHAN COHEN
Title: PRESIDENT
Phone: (904) 230-2961

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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