Organization
DAXON & GRUNDSET PLLC
Active
Other names
Daxon & Grundset Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH GRUNDEST DDS (PARTNER)
(727) 282-1970
Entity
Organization
Contact information
Practice address
111 2ND AVE NE STE 1104, ST PETERSBURG, FL 33701-3443
(727) 282-1970
(727) 608-1980
Mailing address
111 2ND AVE NE STE 1104, ST PETERSBURG, FL 33701-3443
(727) 282-1970
(727) 608-1980
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN 04596
FL
Other
Enumeration date
04/25/2014
Last updated
04/25/2014
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