| Dental Health Group Pc | |
|
159 Palencia Village Drive Ste 109 St. Augustine FL 32095 | |
| (904) 417-2179 | |
| (904) 417-2182 |
| Full Name | Dental Health Group Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 159 Palencia Village Drive, St. Augustine, Florida |
| Authorized Official Name and Position | Robert A Brody (PRESIDENT) |
| Authorized Official Contact | 3056526313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Health Group Pc 20295 Nw 2nd Ave Ste 210 Miami FL 33169-2550 Ph: (305) 652-6313 | Dental Health Group Pc 159 Palencia Village Drive Ste 109 St. Augustine FL 32095 Ph: (904) 417-2179 |
| NPI Number | 1124299201 |
|---|---|
| Provider Enumeration Date | 03/18/2008 |
| Last Update Date | 03/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124299201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN10219 (Florida) | Primary |
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