Organization
FLORIDA FAMILY DENTISTRY P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY A. JOHNSTON D.D.S. (PRESIDENT)
(386) 447-1234
Entity
Organization
Contact information
Practice address
4 OLD KINGS RD N, SUITE A, PALM COAST, FL 32137-8226
(386) 447-1234
(386) 447-0005
Mailing address
4 OLD KINGS RD N, SUITE A, PALM COAST, FL 32137-8226
(386) 447-1234
(386) 447-0005
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/23/2006
Last updated
02/27/2008
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