Organization
SORRENTO DENTAL
Active
Other names
Julington Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON SPEIGEL DMD (OWNER)
(904) 230-5537
Entity
Organization
Contact information
Practice address
106 JULINGTON PLAZA DR, SUITE 6, JACKSONVILLE, FL 32259-6217
(904) 230-5537
(904) 230-5539
Mailing address
106 JULINGTON PLAZA DR, SUITE 6, JACKSONVILLE, FL 32259-6217
(904) 230-5537
(904) 230-5539
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN17027
FL
Other
Enumeration date
12/18/2013
Last updated
12/18/2013
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