Individual
DR. EDWARD BRUCE SEVETZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2140 KINGSLEY AVE, SUITE # 7, ORANGE PARK, FL 32073-5180
(904) 272-8484
(904) 272-4669
Mailing address
2140 KINGSLEY AVE, SUITE # 7, ORANGE PARK, FL 32073-5180
(904) 272-8484
(904) 272-4669
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7960
FL
Other
Enumeration date
04/18/2006
Last updated
07/08/2007
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