Organization
AMARAL DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIA WILLIAMS (PROVIDER ENROLLMENT TEAM LEAD)
(315) 454-6000
Entity
Organization
Contact information
Practice address
463859 STATE ROAD 200, YULEE, FL 32097-3639
(904) 335-3222
Mailing address
PO BOX 70887, CLEVELAND, OH 44190-0887
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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