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Organization
MICHAEL GAGAOUDAKIS DMD PA
Active
Organization
MICHAEL GAGAOUDAKIS DMD PA
Active
Other names
Michael Gagaoudakis
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL E GAGAOUDAKIS DMD (PRESIDENT)
(904) 686-1576
Entity
Organization
Contact information
Practice address
814 A1A N, SUITE 102, PONTE VEDRA, FL 32082-3271
(904) 686-1576
(904) 686-1706
Mailing address
814 A1A N, SUITE 102, PONTE VEDRA, FL 32082-3271
(904) 686-1576
(904) 686-1706
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN17757
FL
Other
Enumeration date
11/04/2008
Last updated
11/04/2008
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