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Organization

FLORIDA DENTAL TEAM, LLC

Active
Parent organization
FLORIDA DENTAL TEAM, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
FLORIDA DENTAL TEAM, LLC
Authorized official
JUAN OJEDA DMD (OWNER)
(407) 797-1543
Entity
Organization

Contact information

Practice address
3599 UNIVERSITY BLVD S STE 604, JACKSONVILLE, FL 32216-4234
(904) 525-8629
Mailing address
9709 LAKESIDE BLVD STE 350, SPRING, TX 77381-1213
(713) 489-2198
(713) 489-2978

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
1223P0221X
Pediatric Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
024723603
FL
Enumeration date
07/14/2021
Last updated
01/27/2025
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