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Organization
DENTAL SUMMIT PLLC
Active
Organization
DENTAL SUMMIT PLLC
Active
Other names
Beaches Dentistry and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
NODESH BANGALORE SHYAMSUNDER BDS (PRESIDENT)
(904) 246-6714
Entity
Organization
Contact information
Practice address
324 3RD AVE N, JACKSONVILLE BEACH, FL 32250-5602
(904) 246-6714
Mailing address
324 3RD AVE N, JACKSONVILLE BEACH, FL 32250-5602
(904) 246-6714
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DN20907
FL
Other
Enumeration date
01/12/2018
Last updated
01/12/2018
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