Organization
BARTRAM PARK DENTAL,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE A VARGHESE DDS (PRESIDENT)
(904) 553-8791
Entity
Organization
Contact information
Practice address
13241 BARTRAM PARK BLVD, SUITE # 401, JACKSONVILLE, FL 32258-5212
(904) 553-8791
Mailing address
13241 BARTRAM PARK BLVD, SUITE # 401, JACKSONVILLE, FL 32258-5212
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN16471
FL
Other
Enumeration date
07/29/2007
Last updated
07/29/2007
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