Organization
QUINTON POOLER DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. QUINTON POOLER DDS (OWNER)
(904) 654-2728
Entity
Organization
Contact information
Practice address
12708 SAN JOSE BLVD STE 3, JACKSONVILLE, FL 32223-2600
(904) 268-0904
Mailing address
12708 SAN JOSE BLVD STE 3, JACKSONVILLE, FL 32223-2600
(904) 268-0904
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/26/2024
Last updated
11/26/2024
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