Organization
AFFORDABLE BRACES OF NORTH FLORIDA
Active
Other names
Affordable Braces
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON P OUELLETTE DDS (OWNER - ORTHODONTIST)
(404) 414-0106
Entity
Organization
Contact information
Practice address
559 W TWINCOURT TRL, SUITE 602, ST AUGUSTINE, FL 32095-8805
(404) 414-0106
Mailing address
559 W TWINCOURT TRL, SUITE 602, ST AUGUSTINE, FL 32095-8805
(404) 414-0106
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN19187
FL
Other
Enumeration date
11/29/2015
Last updated
11/29/2015
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