BEAN SPROUT INC

NPI # 

Practice Address:

2008 Riverside Ave , Suite 101

Jacksonville, FL, 32204-4443

Practice Phone:

904-372-3260

Practice Fax:

904-385-3704

License Number:

17658

License State:

FL

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Dental

Taxonomy Code:

261QD0000X