Individual
DR. BETH E. KAILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1998 RIVERGATE DR, ORANGE PARK, FL 32003-8686
(904) 541-1444
(904) 541-1444
Mailing address
2245 PLANTATION CENTER DR, SUITE 36, ORANGE PARK, FL 32003-3352
(904) 215-7800
(904) 215-7887
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
16753
FL
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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