Organization
JEFFREY S. PRIETO, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OVOILETTE E HOLT (MANAGER)
(904) 269-3488
Entity
Organization
Contact information
Practice address
1950 MILLER ST, 3, ORANGE PARK, FL 32073-4759
(904) 269-3488
(904) 278-0931
Mailing address
1950 MILLER ST, 3, ORANGE PARK, FL 32073-4759
(904) 269-3488
(904) 278-0931
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
DN-14358
FL
Other
Enumeration date
06/26/2012
Last updated
06/26/2012
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