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Organization
SUSAN PRATER KUDLATS, D.M.D, P.A.
Active
Organization
SUSAN PRATER KUDLATS, D.M.D, P.A.
Active
Other names
Kernan Family Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN PRATER (PRESIDENT)
(904) 620-0404
Entity
Organization
Contact information
Practice address
12620 BEACH BLVD STE 18, JACKSONVILLE, FL 32246-7130
(404) 509-1292
Mailing address
12620 BEACH BLVD STE 18, JACKSONVILLE, FL 32246-7130
(404) 509-1292
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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