Organization
DENTAL SPECIALISTS OF NORTH FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ROY THOUSAND JR. D.D.S. (OWNER/PERIODONTIST)
(386) 445-4242
Entity
Organization
Contact information
Practice address
3 CYPRESS BRANCH WAY, SUITE C, PALM COAST, FL 32164-8409
(386) 445-4242
(386) 445-4247
Mailing address
3 CYPRESS BRANCH WAY, SUITE C, PALM COAST, FL 32164-8409
(386) 445-4242
(386) 445-4247
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN7967
FL
Other
Enumeration date
03/16/2010
Last updated
03/16/2010
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