Organization
NANI COMPLETE DENTISTRY PLLC
Active
Other names
Jacksonville Complete Dentistry PLLC, Jacksonville Complete Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN A MONTOYA DDS (OWNER)
(919) 321-7824
Entity
Organization
Contact information
Practice address
7740 POINT MEADOWS DR # 4&5, JACKSONVILLE, FL 32256-9179
(919) 321-7824
Mailing address
3950 SW 24TH AVE APT 323, GAINESVILLE, FL 32607-4470
(919) 321-7824
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801413265
NPI
—
Enumeration date
11/21/2022
Last updated
11/21/2022
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