Organization · Type 2 NPI

Professional Dental Alliance of Jacksonville Beach, PLLC

General Practice Dentistry · Jacksonville, FL

NPI number 1366072464 Active

About NPI 1366072464

Professional Dental Alliance of Jacksonville Beach, PLLC's National Provider Identifier is 1366072464, issued on Jan 17, 2020. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Jacksonville, FL. The record was last updated on Jan 17, 2020.