| Prime Care Dental Center,pa | |
|
1555 Kingsley Ave Suite 306 Orange Park FL 32073-4560 | |
| (904) 215-2199 | |
| (904) 215-2188 |
| Full Name | Prime Care Dental Center,pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1555 Kingsley Ave, Orange Park, Florida |
| Authorized Official Name and Position | Mary Rose A Alon-alon (PRESIDENT) |
| Authorized Official Contact | 9042152199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Care Dental Center,pa 1555 Kingsley Avenue Suite 306 Orange Park FL 32073-9203 Ph: (904) 215-2199 | Prime Care Dental Center,pa 1555 Kingsley Ave Suite 306 Orange Park FL 32073-4560 Ph: (904) 215-2199 |
| NPI Number | 1861814063 |
|---|---|
| Provider Enumeration Date | 01/08/2014 |
| Last Update Date | 01/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861814063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 14708 (Florida) | Primary |
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