Podvia and Stanford Dmds
Podvia and Stanford Dmds is a General Practice Dentistry in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2006.
- Licensed in
- FL
- In the registry since
- 2006
Practice location Address checks out
3118 New Berlin Rd Ste 1Jacksonville, FL 32226
Phone: (904) 765-5573
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence DN0014583 (FL) |
|---|
Record details
| NPI number | 1568560118 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kristan Podvia — Dentist · (904) 765-5573 |
| NPI enumerated | September 20, 2006 |
| Last updated in NPPES | May 23, 2013 |
| Mailing address | 3118 New Berlin Road, Suite 1, Jacksonville, FL 32226 |
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