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Organization
SHENOTI AND BESA HOLDINGS
Active
Organization
SHENOTI AND BESA HOLDINGS
Active
Other names
Nocatee Smile Company
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW AWAD DMD (CEO AND DENTIST)
(904) 515-3308
Entity
Organization
Contact information
Practice address
40 TAVERNIER DR, PONTE VEDRA BEACH, FL 32081-0677
(904) 515-3308
Mailing address
40 TAVERNIER DR STE E, PONTE VEDRA BEACH, FL 32081-0677
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
04/19/2024
Last updated
10/21/2024
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