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Florida Dental Team, LLC

Dentist, Pediatric Dentistry in Jacksonville, FL. Organization (NPI-2).

NPI number1851963227
StatusActive
Last updated in NPPESJan 27, 2025

Details

NPI
1851963227
Entity type
Organization (NPI-2)
Legal business name
Florida Dental Team, LLC
Organization subpart
Yes
Enumeration date
Jul 14, 2021
Certification date
Jan 27, 2025
Last updated
Jan 27, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0221X Dentist, Pediatric Dentistry––Yes
122300000X Dentist––

Practice location

3599 University Blvd S Ste 604
Jacksonville, FL 32216-4234

Phone 904-525-8629

Mailing address

9709 Lakeside Blvd Ste 350
Spring, TX 77381-1213

Phone 713-489-2198 · Fax 713-489-2978

Authorized official

Juan Ojeda
Owner
4077971543

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