Organization
JNR DENTAL
Active
Other names
TCG Dental Specialists, GoodSmiles
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA GOTTFREDSEN (OFFICE MANAGER)
(262) 909-1375
Entity
Organization
Contact information
Practice address
2808 REMINGTON GREEN CIR STE 100, TALLAHASSEE, FL 32308-3724
(850) 383-1052
Mailing address
3640 MOSSY CREEK LN, TALLAHASSEE, FL 32311-3638
(850) 228-7333
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/05/2018
Last updated
10/05/2018
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