Organization
BAEMAX DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDSEY LOFTON CARBALLO DMD (OWNER)
(904) 945-6221
Entity
Organization
Contact information
Practice address
2468 BLANDING BLVD, MIDDLEBURG, FL 32068-5193
(904) 282-5025
Mailing address
1993 MOORINGS CIR, MIDDLEBURG, FL 32068-6645
(904) 945-6221
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/23/2024
Last updated
04/11/2024
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