Organization
WEST SIDE DENTAL ASSOCIATES
Active
Other names
Matthew J Henry DDS and Robert R Cowie DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW JACKSON HENRY DDS (OWNER/MANAGER)
(305) 336-0554
Entity
Organization
Contact information
Practice address
6223 SAUTERNE DR, JACKSONVILLE, FL 32210-7728
(904) 771-0568
Mailing address
6223 SAUTERNE DR, JACKSONVILLE, FL 32210-7728
(904) 771-0568
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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