Organization
EVENS FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER A. EVENS (PRACTICE MANAGER)
(904) 683-6057
Entity
Organization
Contact information
Practice address
13107 ATLANTIC BLVD, JACKSONVILLE, FL 32225-7127
(904) 683-6057
Mailing address
13107 ATLANTIC BLVD, JACKSONVILLE, FL 32225-7127
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/07/2019
Last updated
06/11/2019
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