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Organization
SAPPHIRE DENTAL AFFILIATES PA
Active
Organization
SAPPHIRE DENTAL AFFILIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JAMES REUSCHEL (MANAGER)
(352) 237-6196
Entity
Organization
Contact information
Practice address
2415 SW 27TH AVE, OCALA, FL 34471-0807
(352) 237-6196
Mailing address
2415 SW 27TH AVE, OCALA, FL 34471-0807
(352) 237-6196
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/20/2009
Last updated
01/20/2009
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