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Organization

DENTAL SUMMIT PLLC

Active
Other names
Beaches Dentistry and Wellness
Organization subpart
No

Provider details

NPI number
Authorized official
NODESH BANGALORE SHYAMSUNDER BDS (PRESIDENT)
(904) 246-6714
Entity
Organization

Contact information

Practice address
324 3RD AVE N, JACKSONVILLE BEACH, FL 32250-5602
(904) 246-6714
Mailing address
324 3RD AVE N, JACKSONVILLE BEACH, FL 32250-5602
(904) 246-6714

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DN20907
FL

Other

Enumeration date
01/12/2018
Last updated
01/12/2018
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