| Valley Ridge Pediatric Dentistry | |
|
4220 Valley Ridge Blvd Ste 4 Ponte Vedra FL 32081-5172 | |
| (352) 262-0968 | |
| Not Available |
| Full Name | Valley Ridge Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4220 Valley Ridge Blvd Ste 4, Ponte Vedra, Florida |
| Authorized Official Name and Position | Ryan Clance (PRESIDENT) |
| Authorized Official Contact | 3522620968 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Ridge Pediatric Dentistry 2003 Grey Falcon Cir Sw Vero Beach FL 32962-8616 Ph: (352) 262-0968 | Valley Ridge Pediatric Dentistry 4220 Valley Ridge Blvd Ste 4 Ponte Vedra FL 32081-5172 Ph: (352) 262-0968 |
| NPI Number | 1093562787 |
|---|---|
| Provider Enumeration Date | 05/01/2024 |
| Last Update Date | 05/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093562787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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