BLUE WATER DENTAL OF ST. JOHNS
Managed Care Organizations at Town Plaza Ave, Ponte Vedra, FL

License number
Florida DN20719
Category
Managed Care Organizations
Type
Preferred Provider Organization
Owner
Name: DR. DAVID WALLACE SORENSEN D.M.D.
Title: DENTIST/OWNER
Phone: (904) 755-1966
Address
Address 2
460 Town Plaza Ave SUITE 210, Ponte Vedra, FL 32081
334 Willow Winds Pkwy, Jacksonville, FL 32259
National Provider ID: 1821543513
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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