Organization
ONE DENTAL PRACTICE LLC
Active
Other names
St. Croix Dental
Organization subpart
No
Provider details
NPI number
Authorized official
AVRIL JOHNSON (OFFICE MANAGER)
(340) 692-9770
Entity
Organization
Contact information
Practice address
35 CASTLE COAKLEY, CHRISTIANSTED, VI 00820
(340) 692-9770
Mailing address
35 ESTATE CASTLE COAKLEY, CHRISTIANSTED, VI 00820
(340) 692-9770
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
V1021
VI
122300000X
Dentist
Primary
V1221
VI
Other
Enumeration date
02/17/2016
Last updated
02/22/2016
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