Organization
AGERICO M SAYOC DMD MSD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AGERICO M SAYOC (PRESIDENT DENTIST)
(904) 221-0054
Entity
Organization
Contact information
Practice address
13167 ATLANTIC BLVD, JACKSONVILLE, FL 32225-3125
(904) 221-0054
(904) 221-0049
Mailing address
13167 ATLANTIC BLVD, JACKSONVILLE, FL 32225-3125
(904) 221-0054
(904) 221-0049
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DN10831
FL
Other
Enumeration date
02/06/2007
Last updated
06/13/2013
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