Organization
PEDIATRIC DENTAL ANESTHESIA ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS R. STONE M.D. (PRESIDENT)
(904) 230-3188
Entity
Organization
Contact information
Practice address
3408 STATE ROAD 13, SAINT JOHNS, FL 32259-9270
(904) 230-3188
(904) 230-3189
Mailing address
3408 STATE ROAD 13, SAINT JOHNS, FL 32259-9270
(904) 230-3188
(904) 230-3189
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
L08000008171
FL
Other
Enumeration date
07/05/2008
Last updated
07/05/2008
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