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Rdc Dental PA

Clinic/Center, Dental in Jacksonville, FL. Organization (NPI-2).

NPI number1669979639
StatusActive
Last updated in NPPESApr 6, 2018

Details

NPI
1669979639
Entity type
Organization (NPI-2)
Legal business name
Rdc Dental PA
Organization subpart
No
Enumeration date
Apr 6, 2018
Last updated
Apr 6, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QD0000X Clinic/Center, DentalDN17040FLYes

Other names

  • DDS Dental Center (Doing Business As)

Practice location

305 E Union St
Jacksonville, FL 32202-2748

Phone 904-717-9161 · Fax 904-717-9167

Mailing address

305 E Union St
Jacksonville, FL 32202-2748

Phone 904-717-9161 · Fax 904-717-9167

Authorized official

Rafael D Cepeda
President
9047179161

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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