Individual
DR. GREGORY TARANTOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
559 W TWINCOURT TRL, 606, ST AUGUSTINE, FL 32095-8805
(904) 671-6977
Mailing address
559 W TWINCOURT TRL, 606, ST AUGUSTINE, FL 32095-8805
(904) 671-6977
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN12415
FL
Other
Enumeration date
04/23/2007
Last updated
07/30/2015
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