Organization
OAKTREE DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER KELLY (OWNER)
(407) 432-6224
Entity
Organization
Contact information
Practice address
14595 PHILIPS HWY, JACKSONVILLE, FL 32256-3709
(904) 290-8766
(904) 290-8797
Mailing address
14595 PHILIPS HWY, JACKSONVILLE, FL 32256-3709
(904) 290-8766
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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