Individual
DR. ANTHONY SEVILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1695 WELLS RD, ORANGE PARK, FL 32073-6208
(904) 269-7004
(904) 269-9008
Mailing address
1695 WELLS RD, ORANGE PARK, FL 32073-6208
(904) 269-7004
(904) 269-9008
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN20775
FL
Other
Enumeration date
05/23/2014
Last updated
07/09/2014
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