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Organization
ONE DENTAL PRACTICE LLC
Active
Organization
ONE DENTAL PRACTICE LLC
Active
Other names
St. Croix Dental
Organization subpart
No
Provider details
NPI number
Authorized official
AVRIL JOHNSON (OFFICE MANAGER)
(340) 692-9770
Entity
Organization
Contact information
Practice address
35 CASTLE COAKLEY, CHRISTIANSTED, VI 00820
(340) 692-9770
Mailing address
35 ESTATE CASTLE COAKLEY, CHRISTIANSTED, VI 00820
(340) 692-9770
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
V1021
VI
122300000X
Dentist
Primary
V1221
VI
Other
Enumeration date
02/17/2016
Last updated
02/22/2016
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