Organization
AMELIA DENTAL GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURIE KITSON DMD (SEC)
(904) 261-7181
Entity
Organization
Contact information
Practice address
1947 CITRONA DRIVE, FERNANDINA BEACH, FL 32034
(904) 261-7181
(904) 261-9797
Mailing address
1947 CITRONA DRIVE, FERNANDINA BEACH, FL 32034
(904) 261-7181
(904) 261-9797
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN15429
FL
122300000X
Dentist
DN17599
FL
122300000X
Dentist
DN20603
FL
122300000X
Dentist
DN21208
FL
122300000X
Dentist
DN3529
FL
1223E0200X
Endodontics
DN11327
FL
Other
Enumeration date
10/17/2006
Last updated
12/21/2015
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