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Organization

ANTHONY R. PETRONE, DMD, P.A.

Active
Other names
Lane Avenue Family Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANTHONY ROBERT PETRONE D.M.D. (OWNER)
(904) 783-1422
Entity
Organization

Contact information

Practice address
1185 LANE AVE S, SUITE 6, JACKSONVILLE, FL 32205-6285
(904) 783-1422
(904) 781-7883
Mailing address
1185 LANE AVE S, SUITE 6, JACKSONVILLE, FL 32205-6285
(904) 783-1422
(904) 781-7883

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN19821
FL

Other

Enumeration date
07/21/2014
Last updated
07/21/2014
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