Organization
FREDERICO TEPEDINO DMD PA
Active
Other names
dental arts of florida
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICO TEPEDINO (DENTIST)
(904) 998-9820
Entity
Organization
Contact information
Practice address
7645 GATE PKWY, SUITE 103, JACKSONVILLE, FL 32256-2889
(904) 998-9820
(904) 998-6650
Mailing address
7645 GATE PKWY, SUITE 103, JACKSONVILLE, FL 32256-2889
(904) 998-9820
(904) 998-6650
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
DN188659
FL
1223G0001X
General Practice Dentistry
Primary
DN18876
FL
1223P0300X
Periodontics
DN17936
FL
Other
Enumeration date
02/01/2013
Last updated
02/01/2013
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