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Organization

HARBOUR DENTAL CARE, P.A.

Active
Parent organization
KEVIN W SNYDER DDS, PA
Organization subpart
Yes

Provider details

NPI number
Legal business name
KEVIN W SNYDER DDS, PA
Authorized official
DR. KEVIN W SNYDER DDS (PRESIDENT)
(614) 940-8243
Entity
Organization

Contact information

Practice address
75 SAN MARCO AVE, SAINT AUGUSTINE, FL 32084-3257
(904) 810-1002
Mailing address
75 SAN MARCO AVE, SAINT AUGUSTINE, FL 32084-3257
(904) 810-1002

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
12/03/2019
Last updated
12/03/2019
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