Individual
MARION C ELDRIDGE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
12078 SAN JOSE BLVD, SUITE 3, JACKSONVILLE, FL 32223-1842
(904) 260-6111
(904) 260-6331
Mailing address
12078 SAN JOSE BLVD, SUITE 3, JACKSONVILLE, FL 32223-1842
(904) 260-6111
(904) 260-6331
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN8643
FL
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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