| Aviles Dental Care | |
|
375 Paseo Reyes Dr St. Augustine FL 32095-8467 | |
| (217) 540-5100 | |
| Not Available |
| Full Name | Aviles Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 375 Paseo Reyes Dr, St. Augustine, Florida |
| Authorized Official Name and Position | Jessica Britt (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175408426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aviles Dental Care 305 Paseo Vereda Dr St. Augustine FL 32095-8471 Ph: (217) 540-5100 | Aviles Dental Care 375 Paseo Reyes Dr St. Augustine FL 32095-8467 Ph: (217) 540-5100 |
| NPI Number | 1578057493 |
|---|---|
| Provider Enumeration Date | 06/15/2018 |
| Last Update Date | 09/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578057493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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