Organization
JAIME THONY PA
Active
Other names
Greenleaf Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAIME THONY DDS (OWNER DENTIST)
(850) 459-5678
Entity
Organization
Contact information
Practice address
1450 TUSKAWILLA RD STE 116, WINTER SPRINGS, FL 32708-5204
(850) 459-5678
Mailing address
2770 ANDES WAY, SAINT CLOUD, FL 34769-5233
(850) 459-5678
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/30/2023
Last updated
07/01/2023
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