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Organization
DENTAL SPECIALISTS OF NORTH FLORIDA LLC
Active
Organization
DENTAL SPECIALISTS OF NORTH FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ROY THOUSAND JR. D.D.S. (OWNER/PERIODONTIST)
(386) 445-4242
Entity
Organization
Contact information
Practice address
3 CYPRESS BRANCH WAY, SUITE C, PALM COAST, FL 32164-8409
(386) 445-4242
(386) 445-4247
Mailing address
3 CYPRESS BRANCH WAY, SUITE C, PALM COAST, FL 32164-8409
(386) 445-4242
(386) 445-4247
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN7967
FL
Other
Enumeration date
03/16/2010
Last updated
03/16/2010
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