| Palm Valley Family Dentistry, P.a. | |
|
3791 Palm Valley Rd Suite 205 Ponte Vedra Beach FL 32082-4182 | |
| (904) 834-2736 | |
| (904) 834-2737 |
| Full Name | Palm Valley Family Dentistry, P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3791 Palm Valley Rd, Ponte Vedra Beach, Florida |
| Authorized Official Name and Position | David James Yoder (PRESIDENT) |
| Authorized Official Contact | 9046735869 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palm Valley Family Dentistry, P.a. 3791 Palm Valley Rd Suite 205 Ponte Vedra Beach FL 32082-4182 Ph: (904) 834-2736 | Palm Valley Family Dentistry, P.a. 3791 Palm Valley Rd Suite 205 Ponte Vedra Beach FL 32082-4182 Ph: (904) 834-2736 |
| NPI Number | 1538592852 |
|---|---|
| Provider Enumeration Date | 08/11/2013 |
| Last Update Date | 08/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538592852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN19044 (Florida) | Primary |
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