Organization
JC FAMILY DENTISTRY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN COHEN (PRESIDENT)
(904) 230-2961
Entity
Organization
Contact information
Practice address
485 STATE ROAD 13 STE 4, SAINT JOHNS, FL 32259-2993
(904) 230-2961
Mailing address
485 STATE ROAD 13 STE 4, SAINT JOHNS, FL 32259-2993
(904) 230-2961
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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