Organization
GENTLE TOUCH DENTISTRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL G. STOUTAMIRE (V.P.)
(904) 272-2828
Entity
Organization
Contact information
Practice address
2155 LOCH RANE BLVD, ORANGE PARK, FL 32073-5719
(904) 272-2828
Mailing address
2155 LOCH RANE BLVD, ORANGE PARK, FL 32073-5719
(904) 272-2828
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN13497
FL
Other
Enumeration date
08/06/2008
Last updated
08/06/2008
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