| Avalon Dental Clinic Pl | |
|
4272 Avalon Boulevard Milton FL 32583-2858 | |
| (850) 626-6100 | |
| (850) 626-6161 |
| Full Name | Avalon Dental Clinic Pl |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4272 Avalon Boulevard, Milton, Florida |
| Authorized Official Name and Position | Anissa Marie Rodriquez-ottley (OWNER) |
| Authorized Official Contact | 8506266100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avalon Dental Clinic Pl 4272 Avalon Boulevard Milton FL 32583-2858 Ph: (850) 626-6100 | Avalon Dental Clinic Pl 4272 Avalon Boulevard Milton FL 32583-2858 Ph: (850) 626-6100 |
| NPI Number | 1629045489 |
|---|---|
| Provider Enumeration Date | 03/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629045489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN15481 (Florida) | Primary |
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