Organization
AP DENTAL BAYMEADOWS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA PUKHOVITSKAYA DMD (DENTIST)
(978) 223-3742
Entity
Organization
Contact information
Practice address
613 MAHI DR, PONTE VEDRA, FL 32081-1530
(978) 223-3742
Mailing address
613 MAHI DR, PONTE VEDRA, FL 32081-1530
(978) 223-3742
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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