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Organization
JULINGTON CREEK FAMILY DENTISTRY, PA
Active
Organization
JULINGTON CREEK FAMILY DENTISTRY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN LYNN AMATRUDI DMD (PRESIDENT)
(904) 230-2961
Entity
Organization
Contact information
Practice address
465 STATE ROAD 13 STE 9, JACKSONVILLE, FL 32259-3858
(904) 230-2931
(904) 230-1627
Mailing address
465 STATE ROAD 13 STE 9, JACKSONVILLE, FL 32259-3858
(904) 230-2931
(904) 230-1627
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN13430
FL
Other
Enumeration date
08/22/2006
Last updated
08/22/2020
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