Organization
SMILE SO BIG FLAGLER PLLC
Active
Other names
Versaggi Dental, Michael Versaggi DDS
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN AALONA MONTOYA DDS (OWNER)
(904) 829-9024
Entity
Organization
Contact information
Practice address
150 MALAGA ST, ST AUGUSTINE, FL 32084-3521
(904) 829-9024
Mailing address
150 MALAGA ST, ST AUGUSTINE, FL 32084-3521
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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