Avalon Dental Clinic Pl

NPI #1629045489 in Milton, Florida

Provider Information

NPI Number: 1629045489
Entity Type: Organization
Organization Name: Avalon Dental Clinic Pl
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 1, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 4272 AVALON BOULEVARD
City: Milton
State: Florida
ZIP Code: 32583-2858
Phone: (850) 626-6100

Authorized Official

Name: DR. ANISSA MARIE RODRIQUEZ-OTTLEY, DMD
Title: OWNER
Phone: (850) 626-6100

Specialties & Taxonomy Codes

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

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