| Pediatric Dentistry | |
|
1851 Golden Eagle Way Suite #36 Fleming Island FL 32003-4333 | |
| (904) 215-7800 | |
| Not Available |
| Full Name | Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1851 Golden Eagle Way, Fleming Island, Florida |
| Authorized Official Name and Position | Beth Kailes (OWNER) |
| Authorized Official Contact | 9042157800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry 1851 Golden Eagle Way Suite #36 Fleming Island FL 32003-4333 | Pediatric Dentistry 1851 Golden Eagle Way Suite #36 Fleming Island FL 32003-4333 Ph: (904) 215-7800 |
| NPI Number | 1386044790 |
|---|---|
| Provider Enumeration Date | 09/04/2014 |
| Last Update Date | 09/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386044790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 16753 (Florida) | Primary |
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