Organization
INSTITUTE OF ORAL IMPLANTOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY CORRAL DMD (CHIEF OPERATING OFFICER)
(904) 204-0304
Entity
Organization
Contact information
Practice address
11251 NETWORK DRIVE, JACKSONVILLE, FL 32256
(813) 732-3792
Mailing address
PO BOX 50158, JACKSONVILLE BEACH, FL 32240-0158
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/01/2026
Last updated
07/01/2026
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