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Organization
SEABREEZE DENTAL GROUP PLLC
Active
Organization
SEABREEZE DENTAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA MELISSA (DIRECTOR OF OPERATIONS)
(904) 794-4424
Entity
Organization
Contact information
Practice address
2520 US 1 S, SAINT AUGUSTINE, FL 32086-6194
(904) 794-4424
Mailing address
2520 US 1 S, ST AUGUSTINE, FL 32086-6194
(904) 794-4424
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/08/2022
Last updated
11/15/2022
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