| Family Dental At Wildlight | |
|
45 Floco Ave Yulee FL 32097-5419 | |
| (904) 875-4164 | |
| Not Available |
| Full Name | Family Dental At Wildlight |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 45 Floco Ave, Yulee, Florida |
| Authorized Official Name and Position | Jessica Britt (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dental At Wildlight 45 Floco Ave Yulee FL 32097-5419 Ph: (904) 875-4222 | Family Dental At Wildlight 45 Floco Ave Yulee FL 32097-5419 Ph: (904) 875-4164 |
| NPI Number | 1619513009 |
|---|---|
| Provider Enumeration Date | 11/21/2019 |
| Last Update Date | 01/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619513009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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