| Middleburg Dental Pllc | |
|
1789 Blanding Blvd Middleburg FL 32068 | |
| (315) 454-6000 | |
| Not Available |
| Full Name | Middleburg Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1789 Blanding Blvd, Middleburg, Florida |
| Authorized Official Name and Position | Jong Yun Park (OWNER) |
| Authorized Official Contact | 3154546000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Middleburg Dental Pllc Po Box 70887 Cleveland OH 44190-0887 Ph: () - | Middleburg Dental Pllc 1789 Blanding Blvd Middleburg FL 32068 Ph: (315) 454-6000 |
| NPI Number | 1528703691 |
|---|---|
| Provider Enumeration Date | 05/03/2022 |
| Last Update Date | 06/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528703691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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