Organization
JC DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA CHUPP DMD (OWNER DENTIST)
(904) 272-1588
Entity
Organization
Contact information
Practice address
390 JEFFERSON AVE, ORANGE PARK, FL 32065-7717
(904) 272-1588
Mailing address
390 JEFFERSON AVE, ORANGE PARK, FL 32065-7717
(904) 272-1588
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/10/2022
Last updated
11/09/2022
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