Organization
FAMILY ORTHODONTICS OF FLORIDA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMONIA LEONARD (CREDENTIALING SPECIALIST)
(678) 244-4844
Entity
Organization
Contact information
Practice address
2217 KINGSLEY AVE, ORANGE PARK, FL 32073-5115
(770) 692-1000
Mailing address
1350 SPRING ST NW STE 600, ATLANTA, GA 30309-2870
(770) 692-1000
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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