Organization
BETH E. KAILES, DMD, PA
Active
Other names
Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
BETH KAILES D.M.D. (OWNER)
(904) 215-7800
Entity
Organization
Contact information
Practice address
1851 GOLDEN EAGLE WAY, SUITE #36, FLEMING ISLAND, FL 32003-4333
(904) 215-7800
Mailing address
1851 GOLDEN EAGLE WAY, SUITE #36, FLEMING ISLAND, FL 32003-4333
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
16753
FL
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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