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Organization

MATTHEW J HENRY DDS PL

Active
Other names
Matthew J Henry DDS PL
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MATTHEW JACKSON HENRY DDS (OWNER)
(305) 336-0554
Entity
Organization

Contact information

Practice address
14054 BEACH BLVD STE 10, JACKSONVILLE, FL 32250-1596
(904) 821-8330
Mailing address
13624 MARSH HARBOR DR N, JACKSONVILLE, FL 32225-2641
(305) 336-0554

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
11/19/2018
Last updated
11/30/2018
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