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Organization
OCEANSIDE DENTAL OF JACKSONVILLE
Active
Organization
OCEANSIDE DENTAL OF JACKSONVILLE
Active
Other names
Oceanside Dental of Jacksonville
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY HOUK (PRACTICE MANAGER)
(208) 716-0415
Entity
Organization
Contact information
Practice address
7751 BAYMEADOWS RD E STE 108, JACKSONVILLE, FL 32256-5889
(208) 716-0415
Mailing address
122 PARADAS PL, ST AUGUSTINE, FL 32092-3120
(208) 716-0415
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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