Bold City Dentistry, PA

NPI #1902201064 in Yulee, Florida

Provider Information

NPI Number: 1902201064
Entity Type: Organization
Organization Name: Bold City Dentistry, PA
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 30, 2014
Last Updated: Oct 30, 2014

Practice Location

Address: 463859 STATE ROAD 200
City: Yulee
State: Florida
ZIP Code: 32097-3639
Phone: (315) 454-6000

Authorized Official

Name: MIKA WEISS
Title: PROVIDER RELATIONS
Phone: (315) 454-6000

Specialties & Taxonomy Codes

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

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