Individual
DR. GEORGE ROBERT VANETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1947 CITRONA DR, FERNANDINA BEACH, FL 32034-4492
(904) 261-2980
Mailing address
1081 A1A BEACH BLVD, ST AUGUSTINE, FL 32080-6733
(904) 261-2980
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN0013529
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN0013529
LICENSE NUMBER
FL
Enumeration date
08/25/2006
Last updated
02/24/2020
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