Organization
RIVER CITY PEDIATRIC DENTISTRY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDSAY GREMILLION MAPLES DMD (PRESIDENT)
(904) 880-5437
Entity
Organization
Contact information
Practice address
9857 OLD SAINT AUGUSTINE RD, SUITE 3, JACKSONVILLE, FL 32257-8853
(904) 880-5437
(904) 880-1490
Mailing address
9857 OLD SAINT AUGUSTINE RD, SUITE 3, JACKSONVILLE, FL 32257-8853
(904) 880-5437
(904) 880-1490
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN18271
FL
Other
Enumeration date
01/04/2013
Last updated
01/04/2013
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