Organization
MICHAEL A CHANATRY DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ALBERT CHANATRY DDS (OWNER/PRESIDENT)
(904) 737-2040
Entity
Organization
Contact information
Practice address
3595 CARDINAL POINT DR, JACKSONVILLE, FL 32257-5500
(904) 737-2040
(904) 737-2051
Mailing address
3595 CARDINAL POINT DR, JACKSONVILLE, FL 32257-5500
(904) 737-2040
(904) 737-2051
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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