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Organization
BEACHVIEW DENTAL PLLC
Active
Organization
BEACHVIEW DENTAL PLLC
Active
Other names
Sunrise Dental of Orange Park
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JAMES THOMASINO DMD (OWNER)
(904) 586-1234
Entity
Organization
Contact information
Practice address
1700 WELLS RD STE 19, ORANGE PARK, FL 32073-2374
(904) 586-1234
Mailing address
1700 WELLS RD STE 19, ORANGE PARK, FL 32073-2374
(904) 586-1234
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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