Palm Leaf Dental
NPI #1609293034 in Ponte Vedra, Florida
Provider Information
- NPI Number
- 1609293034
- Entity Type
- Organization
- Organization Name
- Palm Leaf Dental
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 24, 2014
- Last Updated
- Mar 24, 2014
Practice Location
- Address
- 100 MARKETSIDE AVE STE 306
- City
- Ponte Vedra
- State
- Florida
- ZIP Code
- 32081-0582
- Phone
- (904) 810-5702
Authorized Official
- Name
- AARON EVENS
- Title
- OWNER
- Phone
- (904) 810-5702
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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