Organization
ANASTASIA DENTAL ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE COLE (VP INSURANCE PLAN MANAGEMENT)
(727) 424-2990
Entity
Organization
Contact information
Practice address
3534 A1A S, ST AUGUSTINE, FL 32080-6899
(904) 461-5788
Mailing address
3534 A1A S, ST AUGUSTINE, FL 32080-6899
(904) 461-5788
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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