Organization
SILVER FOREST DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER KELLY (OWNER)
(410) 303-1528
Entity
Organization
Contact information
Practice address
60 SILVER FOREST DR STE 104, ST AUGUSTINE, FL 32092-3838
(904) 640-8288
Mailing address
60 SILVER FOREST DR STE 104, ST AUGUSTINE, FL 32092-3838
(904) 640-8288
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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