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Organization

DENTAL RX INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IRA RILEY JR. R.P.H. (PRESIDENT)
(904) 764-8280
Entity
Organization

Contact information

Practice address
1190 EDGEWOOD AVE W, SUITE B., JACKSONVILLE, FL 32208-3419
(904) 764-8280
(904) 764-6625
Mailing address
1190 EDGEWOOD AVE W, SUITE B., JACKSONVILLE, FL 32208-3419
(904) 764-8280
(904) 764-6625

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH21099
FL

Other

Enumeration date
03/01/2007
Last updated
10/31/2007
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