| Beachview Dental Pllc | |
|
1700 Wells Rd Ste 19 Orange Park FL 32073-2374 | |
| (904) 586-1234 | |
| Not Available |
| Full Name | Beachview Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1700 Wells Rd Ste 19, Orange Park, Florida |
| Authorized Official Name and Position | Michael James Thomasino (OWNER) |
| Authorized Official Contact | 9045861234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beachview Dental Pllc 1700 Wells Rd Ste 19 Orange Park FL 32073-2374 Ph: (904) 586-1234 | Beachview Dental Pllc 1700 Wells Rd Ste 19 Orange Park FL 32073-2374 Ph: (904) 586-1234 |
| NPI Number | 1528618071 |
|---|---|
| Provider Enumeration Date | 09/17/2019 |
| Last Update Date | 09/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528618071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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