BENJAMIN N. DILLER, DDS, PA
Dentist at 14 St, Fernandina, FL

License number
Florida DN21074
Category
Ambulatory Health
Type
Dental
Owner
Name: BENJAMIN N DILLER DDS
Title: PRESIDENT
Phone: (419) 509-6865
Address
Address
1200 S 14Th St, Fernandina, FL 32034
National Provider ID: 1811380983
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Benjamin N. Diller, D.D.S., PA

1200 S 14 St, Fernandina, FL 32034

Registration:
Feb 24, 2015
State ID:
P15000017809
Business type:
Domestic for Profit Corporation
Director:
Benjamin N. Diller (Director)
Agent:
Ludwig & Speer, Pa

Dentist licenses in Florida