Organization
OAKTREE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON EVENS DDS (OWNER)
(904) 955-1151
Entity
Organization
Contact information
Practice address
14595 PHILIPS HIGHWAY, JACKSONVILLE, FL 32256
(904) 379-9268
Mailing address
109 AZALEA PL, NEPTUNE BEACH, FL 32266-6013
(404) 543-5366
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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