Organization
PONTE VEDRA ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH C MAVEC DDS MS (DDS / OWNER)
(904) 273-5770
Entity
Organization
Contact information
Practice address
822 A1A NORTH, STE 314, PONTE VEDRA BEACH, FL 32082
(904) 273-5770
(904) 701-6252
Mailing address
822 A1A NORTH, STE 314, PONTE VEDRA BEACH, FL 32082
(904) 273-5770
(904) 701-6252
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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