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Organization
LOFTON CREEK DENTAL, PA
Active
Organization
LOFTON CREEK DENTAL, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON EVENS DDS (OWNER)
(904) 955-1151
Entity
Organization
Contact information
Practice address
109 AZALEA PLACE, NEPTUNE BEACH, FL 32266
(404) 543-5366
Mailing address
463480 STATE ROAD 200, YULEE, FL 32097
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN18137
FL
Other
Enumeration date
05/24/2016
Last updated
05/24/2016
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