Organization
AVENUES DENTAL LLC
Active
Other names
Dental Center of Jacksonville
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIGNESH PATEL DMD (MANAGER)
(954) 551-4624
Entity
Organization
Contact information
Practice address
6144 GAZEBO PARK PLACE SOUTH, STE 210, JACKSONVILLE, FL 32257
(904) 262-9466
Mailing address
3068 BRETTUNGAR DRIVE, JACKSONVILLE, FL 32246
(954) 551-4624
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 19907
FL
Other
Enumeration date
06/21/2016
Last updated
06/21/2016
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