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Organization
MOBILE COMPREHENSIVE DENTAL SERVICES INCORPORATED
Active
Organization
MOBILE COMPREHENSIVE DENTAL SERVICES INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY KIMBRELL (CREDENTIALING SPECIALIST)
(904) 300-0126
Entity
Organization
Contact information
Practice address
1839 LANE AVE S STE 104, JACKSONVILLE, FL 32210-1260
(904) 300-0126
(877) 770-3699
Mailing address
1839 LANE AVE S STE 104, JACKSONVILLE, FL 32210-1260
(904) 300-0126
(877) 770-3699
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/11/2026
Last updated
02/11/2026
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