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Organization
PEDIATRIC DENTAL ANESTHESIA ASSOCIATES, LLC
Active
Organization
PEDIATRIC DENTAL ANESTHESIA ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS R. STONE M.D. (PRESIDENT)
(904) 230-3188
Entity
Organization
Contact information
Practice address
3408 STATE ROAD 13, SAINT JOHNS, FL 32259-9270
(904) 230-3188
(904) 230-3189
Mailing address
3408 STATE ROAD 13, SAINT JOHNS, FL 32259-9270
(904) 230-3188
(904) 230-3189
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
L08000008171
FL
Other
Enumeration date
07/05/2008
Last updated
07/05/2008
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