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Organization
PRIME CARE DENTAL CENTER,PA
Active
Organization
PRIME CARE DENTAL CENTER,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY ROSE A ALON-ALON DDS (PRESIDENT)
(904) 215-2199
Entity
Organization
Contact information
Practice address
1555 KINGSLEY AVE, SUITE 306, ORANGE PARK, FL 32073-4560
(904) 215-2199
(904) 215-2188
Mailing address
1555 KINGSLEY AVENUE, SUITE 306, ORANGE PARK, FL 32073-9203
(904) 215-2199
(904) 215-2188
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
14708
FL
Other
Enumeration date
01/08/2014
Last updated
01/08/2014
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