Island Walk Dental Care | |
1647 Country Road 220, Suite 101 Fleming Island FL 32003 | |
(904) 278-6229 | |
(904) 269-3529 |
Full Name | Island Walk Dental Care |
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Speciality | Dentist - General Practice |
Location | 1647 Country Road 220, Suite 101, Fleming Island, Florida |
Authorized Official Name and Position | Pam Hardiek (CREDENTIALING) |
Authorized Official Contact | 2175405100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Island Walk Dental Care 1647 Country Road 220 Suite 101 Fleming Island FL 32003 Ph: (904) 278-6229 | Island Walk Dental Care 1647 Country Road 220, Suite 101 Fleming Island FL 32003 Ph: (904) 278-6229 |
NPI Number | 1003188475 |
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Provider Enumeration Date | 02/01/2012 |
Last Update Date | 02/01/2012 |
Identifier | Type | State | Issuer |
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1003188475 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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