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Organization
OTTLEY SMILES DENTAL CENTER PA
Active
Organization
OTTLEY SMILES DENTAL CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED OTTLEY (DENTIST)
(850) 939-0757
Entity
Organization
Contact information
Practice address
8117 NAVARRE PKWY, NAVARRE, FL 32563-6907
(850) 939-0757
Mailing address
8117 NAVARRE PKWY, NAVARRE, FL 32566-6907
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/20/2009
Last updated
10/20/2009
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