Jacksonville Tongue Tie LLC
NPI #1831858067 in Saint Johns, Florida
Provider Information
- NPI Number
- 1831858067
- Entity Type
- Organization
- Organization Name
- Jacksonville Tongue Tie LLC
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Dec 15, 2021
- Last Updated
- Dec 15, 2021
Practice Location
- Address
- 196 EVEREST LN STE 1
- City
- Saint Johns
- State
- Florida
- ZIP Code
- 32259-4103
- Phone
- (904) 584-9004
Authorized Official
- Name
- STACEY VEAL
- Title
- PRACTICE ADMINISTRATOR
- Phone
- (904) 584-9004
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