Organization
ALACHUA FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CODY SCOTT GOSLINGA D.M.D. (PRESIDENT)
(386) 462-1771
Entity
Organization
Contact information
Practice address
14690 NW 151ST BLVD, UNIT 20, ALACHUA, FL 32615
(386) 462-1771
Mailing address
2441 WINCHESTER LN, ST AUGUSTINE, FL 32092-1088
(386) 462-1771
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17072
FL
Other
Enumeration date
02/07/2008
Last updated
02/07/2008
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