Organization
BEACHVIEW DENTAL PLLC
Active
Other names
Sunrise Dental of Orange Park
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JAMES THOMASINO DMD (OWNER)
(904) 586-1234
Entity
Organization
Contact information
Practice address
1700 WELLS RD STE 19, ORANGE PARK, FL 32073-2374
(904) 586-1234
Mailing address
1700 WELLS RD STE 19, ORANGE PARK, FL 32073-2374
(904) 586-1234
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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