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Organization
ST. JOHNS FAMILY DENTISTRY
Active
Organization
ST. JOHNS FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD HUCKE D.M.D. (DENTIST)
(904) 471-7300
Entity
Organization
Contact information
Practice address
2225 A1A S, SUITE A3, ST AUGUSTINE, FL 32080-2916
(904) 471-7300
(904) 471-2708
Mailing address
2225 A1A S, SUITE A3, ST AUGUSTINE, FL 32080-2916
(904) 471-7300
(904) 471-2708
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN8386
FL
Other
Enumeration date
05/15/2007
Last updated
08/22/2020
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