Organization
PONTE VEDRA PEDIATRIC DENTISTRY AND ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDSAY G. MAPLES DMD (OWNER)
(904) 880-5437
Entity
Organization
Contact information
Practice address
480 TOWN PLAZA AVENUE, SUITE 110, PONTE VEDRA, FL 32081
(904) 880-5437
(904) 880-1490
Mailing address
480 TOWN PLAZA AVENUE, SUITE 110, PONTE VEDRA, FL 32081
(904) 880-5437
(904) 880-1490
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN18271
FL
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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