Organization
FAMILY SMILES PONTE VEDRA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE MAPP DMD (OWNER/PRESIDENT)
(904) 543-0568
Entity
Organization
Contact information
Practice address
151 SAWGRASS CORNERS DR, SUITE 102, PONTE VEDRA BEACH, FL 32082-3553
(904) 543-0568
Mailing address
151 SAWGRASS CORNERS DR, SUITE 102, PONTE VEDRA BEACH, FL 32082-3553
(904) 543-0568
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 13848
FL
122300000X
Dentist
DN19375
FL
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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