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Organization
MAPLES, NEAL AND WINTER
Active
Organization
MAPLES, NEAL AND WINTER
Active
Other names
Advanced Dental Services of Jacksonville
Organization subpart
No
Provider details
NPI number
Authorized official
KAMI RUDOLPH (PRACTICE ADMINISTRATOR)
(904) 285-8407
Entity
Organization
Contact information
Practice address
9109 BAYMEADOWS RD, SUITE 4, JACKSONVILLE, FL 32256-2014
(904) 731-0311
(904) 731-0312
Mailing address
9109 BAYMEADOWS RD, SUITE 4, JACKSONVILLE, FL 32256-2014
(904) 731-0311
(904) 731-0312
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 18277
FL
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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