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Organization
PONTE VEDRA COMPLETE DENTISTRY, PA
Active
Organization
PONTE VEDRA COMPLETE DENTISTRY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC L TOWNSEND DDS (PRESIDENT)
(904) 285-7711
Entity
Organization
Contact information
Practice address
105 SOLANA RD STE A, PONTE VEDRA, FL 32082-5229
(904) 285-7711
Mailing address
105 SOLANA RD STE A, PONTE VEDRA, FL 32082-5229
(904) 285-7711
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN0010655
FL
Other
Enumeration date
07/21/2006
Last updated
02/07/2017
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