Organization
JU SCHOOL OF ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULA BATES (INSURANCE CREDENTIAL COORDINATOR)
(904) 256-7854
Entity
Organization
Contact information
Practice address
5491 DOLPHIN POINT BLVD, JACKSONVILLE, FL 32211-3221
(904) 256-7854
Mailing address
5491 DOLPHIN POINT BLVD, JACKSONVILLE, FL 32211-3221
(904) 256-7854
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
01/17/2023
Last updated
01/17/2023
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