Organization
JACKSONVILLE EMERGENCY DENTAL, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JAMES THOMASINO DMD (PRESIDENT)
(904) 224-0046
Entity
Organization
Contact information
Practice address
1716 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-8929
(904) 224-0046
(904) 224-0699
Mailing address
1716 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-8929
(904) 224-0046
(904) 224-0699
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN16459
FL
Other
Enumeration date
09/24/2008
Last updated
09/24/2008
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