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Organization
FUPS DENTAL, INC.
Active
Organization
FUPS DENTAL, INC.
Active
Other names
One Day Denture
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS JAVIER SANTIAGO DDS (OWNER)
(904) 738-7735
Entity
Organization
Contact information
Practice address
1329 LANE AVE S STE 1, JACKSONVILLE, FL 32205-6111
(904) 683-0415
Mailing address
1329 LANE AVE S STE 1, JACKSONVILLE, FL 32205-6111
(904) 738-7856
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13959
FL
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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