Zenovia Fulton DMD

NPI 1518291822 - Dentist - 122300000X

NPI Details
NPI 1518291822
Gender Female
Enumeration Date 09/21/2009
Last Updated 09/21/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
3505 SOUTHSIDE BLVD
SUITE 5
JACKSONVILLE FL, 32216-4686, US
Phone (904) 564-1888
Fax
Business Location
3505 SOUTHSIDE BLVD
SUITE 5
JACKSONVILLE FL, 32216-4686, US
Phone (904) 564-1888
Fax
Toxanomy
Taxonomy Code 122300000X
License State Florida
License Number DN13608
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According to our database, Zenovia Fulton DMD NPI is 1518291822, taxonomy code is 122300000X and license number is DN13608, license state is located at Florida. Zenovia Fulton DMD physically located at 3505 Southside Blvd, Jacksonville FL, 32216-4686. NPI Number Zenovia Fulton DMD has the Individual type.

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1518291822 NPI number is provided on an as is basis without warranty of any kind. 1518291822 is maintained by the National Plan & Provider Enumeration System. The contents of Zenovia Fulton DMD are for informational purposes only.