Ponce De Leon Family Dentistry
Ponce De Leon Family Dentistry is a Dental Clinic/Center in Saint Augustine, Florida. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
4 Saint Johns Medical Pk DrSaint Augustine, FL 32086-5298
Phone: (904) 797-9009
Fax: (904) 797-9057
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1801059480 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Theodore Haeussner — Dentist · (904) 797-8247 |
| NPI enumerated | July 3, 2008 |
| Last updated in NPPES | July 3, 2008 |
| Mailing address | 4 Saint Johns Medical Pk Dr, Saint Augustine, FL 32086-5298 |
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