Organization
YULEE DENTAL PLLC
Active
Other names
Lofton Creek Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER KELLY (OWNER)
(407) 432-6224
Entity
Organization
Contact information
Practice address
463480 STATE ROAD 200, YULEE, FL 32097-3370
(904) 468-5135
(407) 574-4651
Mailing address
463480 STATE ROAD 200, YULEE, FL 32097-3370
(407) 432-6224
(407) 574-4651
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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