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Organization
NANI COMPLETE DENTISTRY PLLC
Active
Organization
NANI COMPLETE DENTISTRY PLLC
Active
Other names
Jacksonville Complete Dentistry PLLC, Jacksonville Complete Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN A MONTOYA DDS (OWNER)
(919) 321-7824
Entity
Organization
Contact information
Practice address
7740 POINT MEADOWS DR # 4&5, JACKSONVILLE, FL 32256-9179
(919) 321-7824
Mailing address
3950 SW 24TH AVE APT 323, GAINESVILLE, FL 32607-4470
(919) 321-7824
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801413265
NPI
—
Enumeration date
11/21/2022
Last updated
11/21/2022
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