Organization
COMMUNITY DENTAL CONSTULANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID JAMES YODER DDS (PRESIDENT)
(904) 673-5869
Entity
Organization
Contact information
Practice address
3791 PALM VALLEY RD, SUITE 204, PONTE VEDRA BEACH, FL 32082-4182
(904) 673-5869
(904) 834-2737
Mailing address
3791 PALM VALLEY RD, SUITE 204, PONTE VEDRA BEACH, FL 32082-4182
(904) 673-5869
(904) 834-2737
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN19044
FL
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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