Organization
GENTLE DENTISTS BEACHES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CASSANDRA CHESSER (CREDENTIALING)
(904) 716-5888
Entity
Organization
Contact information
Practice address
3316 3RD ST S STE 101, JACKSONVILLE BEACH, FL 32250-6090
(904) 731-1919
(904) 996-0018
Mailing address
PO BOX 19675, JACKSONVILLE, FL 32245-9675
(904) 731-1919
(904) 996-0018
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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