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Organization
SMILECARE DENTAL ASSOCIATES PA
Active
Organization
SMILECARE DENTAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WYMAN RICHARD WOODWARD DDS (PRESIDENT)
(904) 367-1722
Entity
Organization
Contact information
Practice address
9000 GOLFSIDE DRIVE, SUITE A, JACKSONVILLE, FL 32256
(904) 731-4343
(904) 731-2783
Mailing address
9000 GOLFSIDE DRIVE, SUITE B, JACKSONVILLE, FL 32256-7793
(904) 367-1722
(904) 367-1739
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN7977
FL
Other
Enumeration date
03/05/2007
Last updated
11/01/2010
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