Organization
SMILING KIDDS DENTISTRY, P.A.
Active
Parent organization
SMILING KIDDS DENTISTRY, P.A.
Other names
River City Pediatric Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
SMILING KIDDS DENTISTRY, P.A.
Authorized official
ANDREW WEAVER (ADMINISTRATOR)
(904) 395-7772
Entity
Organization
Contact information
Practice address
9857 OLD SAINT AUGUSTINE RD STE 3, JACKSONVILLE, FL 32257-8821
(904) 880-5437
Mailing address
3020 HARTLEY RD STE 210, JACKSONVILLE, FL 32257-8206
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
12/10/2020
Last updated
08/26/2021
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