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Organization
PARK STREET DENTAL
Active
Organization
PARK STREET DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE M GARCIA DDS (OWNER)
(727) 548-7733
Entity
Organization
Contact information
Practice address
4911 PARK ST N, SUITE A, ST PETERSBURG, FL 33709-2227
(727) 548-7733
(727) 548-0015
Mailing address
4911 PARK ST N, SUITE A, ST PETERSBURG, FL 33709-2227
(727) 548-7733
(727) 548-0015
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN11980
FL
Other
Enumeration date
05/02/2016
Last updated
05/02/2016
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