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Organization
ST. JOHNS FAMILY DENTISTRY
Active
Organization
ST. JOHNS FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY R. CORRAL (DMD)
(904) 442-6000
Entity
Organization
Contact information
Practice address
2225 A1A S STE A3, ST AUGUSTINE, FL 32080
(904) 471-7300
(904) 471-2708
Mailing address
2225 A1A SOUTH SUITE A3, ST. AUGUSTINE, FL 32080-6374
(904) 471-7300
(904) 471-2708
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN8386
FL
Other
Enumeration date
07/10/2008
Last updated
05/14/2018
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