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Organization
SMILE DESIGN AT AGAPE FAMILY DENTISTRY
Active
Organization
SMILE DESIGN AT AGAPE FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE GERRY D.M.D (OWNER)
(904) 725-4444
Entity
Organization
Contact information
Practice address
7505 ARLINGTON EXPY, JACKSONVILLE, FL 32211-5951
(904) 725-4444
(904) 724-7307
Mailing address
8750 PERIMETER PARK BLVD, SUITE 101, JACKSONVILLE, FL 32216
(904) 725-4444
(386) 364-5199
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN14223
FL
Other
Enumeration date
06/04/2010
Last updated
10/23/2012
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