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Organization
WEST THIRD DENTAL CARE CENTER
Active
Organization
WEST THIRD DENTAL CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM M FLEISCHMANN DDS (PRESIDENT)
(904) 356-0243
Entity
Organization
Contact information
Practice address
235 W 3RD STREET, JACKSONVILLE, FL 32206-4910
(904) 356-0243
(904) 356-0602
Mailing address
235 W 3RD STREET, JACKSONVILLE, FL 32206-4910
(904) 646-3089
(904) 356-0602
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN005701
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075875500
—
FL
Enumeration date
09/06/2007
Last updated
09/06/2007
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