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Organization
RIVER CITY PEDIATRIC DENTISTRY, P.A.
Active
Organization
RIVER CITY PEDIATRIC DENTISTRY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDSAY GREMILLION MAPLES DMD (PRESIDENT)
(904) 880-5437
Entity
Organization
Contact information
Practice address
9857 OLD SAINT AUGUSTINE RD, SUITE 3, JACKSONVILLE, FL 32257-8853
(904) 880-5437
(904) 880-1490
Mailing address
9857 OLD SAINT AUGUSTINE RD, SUITE 3, JACKSONVILLE, FL 32257-8853
(904) 880-5437
(904) 880-1490
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN18271
FL
Other
Enumeration date
01/04/2013
Last updated
01/04/2013
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