Organization
CARL JONES DDS INC
Active
Other names
Brevard Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
PHIL GRAVES (CHIEF OPERATIONS OFFICER)
(321) 622-0440
Entity
Organization
Contact information
Practice address
1360 BEDFORD DR, MELBOURNE, FL 32940-1992
(321) 242-7550
(321) 242-7110
Mailing address
1360 BEDFORD DR, MELBOURNE, FL 32940-1992
(321) 242-7550
(321) 242-7110
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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