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Individual

ELIZABETH MARIE BARROSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
463787 STATE ROAD 200, YULEE, FL 32097-8652
(904) 875-4131
Mailing address
450 SLASH PINE PL, YULEE, FL 32097-0096

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
34106
TX
1223G0001X
General Practice Dentistry
Primary
DN25316
FL

Other

Enumeration date
06/08/2018
Last updated
07/13/2026
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