Organization
JACKSONVILLE EMERGENCY DENTAL NORTH, PLLC
Active
Other names
Jacksonville Emergency and Family Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JAMES THOMASINO DMD (OWNER)
(904) 891-6691
Entity
Organization
Contact information
Practice address
1840 DUNN AVE STE 3, JACKSONVILLE, FL 32218-4785
(904) 224-0046
Mailing address
789 MILL STREAM RD, PONTE VEDRA BEACH, FL 32082-4148
(904) 891-6691
(904) 263-4560
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/28/2022
Last updated
04/28/2022
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