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Organization
CARL JONES DDS INC
Active
Organization
CARL JONES DDS INC
Active
Other names
Brevard Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
PHIL GRAVES (CHIEF OPERATIONS OFFICER)
(321) 622-0440
Entity
Organization
Contact information
Practice address
1360 BEDFORD DR, MELBOURNE, FL 32940-1992
(321) 242-7550
(321) 242-7110
Mailing address
1360 BEDFORD DR, MELBOURNE, FL 32940-1992
(321) 242-7550
(321) 242-7110
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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