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Organization

BORINQUEN PERIODONTICS & DENTAL IMPLANTS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRENDA RODRIGUEZ HAMILTON DMD, MS, FAGD (CEO)
(904) 305-8555
Entity
Organization

Contact information

Practice address
14866 OLD SAINT AUGUSTINE RD STE 111, JACKSONVILLE, FL 32258-2611
(904) 342-6222
Mailing address
218 SCOTLAND YARD BLVD, SAINT JOHNS, FL 32259-5914
(904) 305-8555

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
08/30/2022
Last updated
08/30/2022
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