Organization
ECONOMY DENTURES
Active
Other names
ECOMONY DENTURES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEROY R. POLITE D.M.D. (DENTIST)
(904) 696-6767
Entity
Organization
Contact information
Practice address
1680 DUNN AVE STE 31, JACKSONVILLE, FL 32218-4744
(904) 696-6767
(904) 696-6767
Mailing address
1680 DUNN AVE STE 31, JACKSONVILLE, FL 32218-4744
(904) 696-6767
(904) 696-6767
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN8243
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
073760700
—
FL
05
—
076491400
—
FL
05
—
076637200
—
FL
Enumeration date
06/29/2007
Last updated
06/25/2008
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