| Anastasia Dental Asscociates | |
|
3534 A1a S St Augustine FL 32080-6899 | |
| (904) 461-5788 | |
| (904) 461-8558 |
| Full Name | Anastasia Dental Asscociates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3534 A1a S, St Augustine, Florida |
| Authorized Official Name and Position | Maria Valdes Domingoes (OWNER) |
| Authorized Official Contact | 9044615788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anastasia Dental Asscociates 3534 A1a S St Augustine FL 32080-6899 Ph: (904) 461-5788 | Anastasia Dental Asscociates 3534 A1a S St Augustine FL 32080-6899 Ph: (904) 461-5788 |
| NPI Number | 1447426671 |
|---|---|
| Provider Enumeration Date | 05/07/2008 |
| Last Update Date | 05/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447426671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN12312 (Florida) | Primary |
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