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Organization
PALM VALLEY FAMILY DENTISTRY, PLLC
Active
Organization
PALM VALLEY FAMILY DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MCKENZIE WORTEN (OFFICE MANAGER)
(904) 834-2736
Entity
Organization
Contact information
Practice address
3791 PALM VALLEY RD STE 205, PONTE VEDRA BEACH, FL 32082-4180
(904) 834-2736
Mailing address
3791 PALM VALLEY RD STE 205, PONTE VEDRA BEACH, FL 32082-4180
(904) 834-2736
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/21/2024
Last updated
12/03/2024
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