Organization
HOFFMAN ORTHODONTICS PA
Active
Other names
Peden & Hoffman Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK HOFFMAN D.M.D., M.S. (PRESIDENT)
(904) 264-4519
Entity
Organization
Contact information
Practice address
1406 KINGSLEY AVE, STE B, ORANGE PARK, FL 32073-4590
(904) 264-4519
(904) 264-4510
Mailing address
1406 KINGSLEY AVE, STE B, ORANGE PARK, FL 32073-4590
(904) 264-4519
(904) 264-4510
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
20979
FL
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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