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Organization
KANEHL DENTAL GROUP, P.A.
Active
Organization
KANEHL DENTAL GROUP, P.A.
Active
Parent organization
YES
Organization subpart
Yes
Provider details
NPI number
Legal business name
YES
Authorized official
DR. BRUCE ARTHUR KANEHL DMD (OWNER)
(904) 731-2162
Entity
Organization
Contact information
Practice address
7933 BAYMEADOWS WAY, SUITE 5, JACKSONVILLE, FL 32256-7564
(904) 731-2162
(904) 448-1403
Mailing address
7933 BAYMEADOWS WAY, SUITE 5, JACKSONVILLE, FL 32256-7564
(904) 731-2162
(904) 448-1403
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6854
FL
Other
Enumeration date
04/18/2007
Last updated
07/27/2011
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