Organization
DOWNTOWN DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULINE HARRELSON (OFFICE MANAGER)
(904) 356-0072
Entity
Organization
Contact information
Practice address
223 W ADAMS ST, JACKSONVILLE, FL 32202-4301
(904) 356-0072
(904) 356-2338
Mailing address
223 W ADAMS ST, JACKSONVILLE, FL 32202-4301
(904) 356-0072
(904) 356-2338
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2639
FL
Other
Enumeration date
06/04/2009
Last updated
06/04/2009
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