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Organization
TOWN PARK DENTAL, P.A.
Active
Organization
TOWN PARK DENTAL, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS NARDUCCI (OWNER)
(904) 998-7000
Entity
Organization
Contact information
Practice address
12950 E COLONIAL DR STE 124, ORLANDO, FL 32826-4609
(407) 635-0704
Mailing address
2801 SAINT JOHNS BLUFF RD S STE 201, JACKSONVILLE, FL 32246-3862
(904) 998-7000
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/15/2019
Last updated
03/15/2019
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