Organization
OCEANSIDE ENDODONTICS OD ST. AUGUSTINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY WELDON TYLER DMD (OWNER)
(904) 217-7012
Entity
Organization
Contact information
Practice address
2510 U.S. 1 SOUTH, SUITE B, ST. AUGUSTINE, FL 32086
(904) 217-7012
(904) 217-7924
Mailing address
2510 U.S. 1 SOUTH, SUITE B, ST. AUGUSTINE, FL 32086
(904) 217-7012
(904) 217-7924
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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