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Organization
AD34 FLORIDA P.A
Active
Organization
AD34 FLORIDA P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW DORMESHIAN (OWNER)
(917) 847-6976
Entity
Organization
Contact information
Practice address
2896 S 8TH ST, FERNANDINA BEACH, FL 32034-4462
(904) 261-6826
Mailing address
401 COMMERCE DR, SUITE 108, FORT WASHINGTON, PA 19034-2714
(215) 550-4590
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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