Surfside Dental Center, Pa.
NPI #1740614775 in Neptune Beach, Florida
Provider Information
- NPI Number
- 1740614775
- Entity Type
- Organization
- Organization Name
- Surfside Dental Center, Pa.
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Aug 27, 2013
- Last Updated
- Jan 23, 2015
Practice Location
- Address
- 630-7 ATLANTIC BLVD.
- City
- Neptune Beach
- State
- Florida
- ZIP Code
- 32266
- Phone
- (904) 247-2626
Authorized Official
- Name
- CRYSTAL L LESS
- Title
- VP OF OPERATIONS
- Phone
- (904) 998-7000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Point of Service |
| Preferred Provider Organization |
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