Individual
JESSICA DANIELLE FILOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5232 SUNSET BLVD STE C, LEXINGTON, SC 29072-9347
(803) 626-0294
Mailing address
11647 E COUNTY ROAD 700 N, SEYMOUR, IN 47274-8408
(812) 569-1111
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12013436A
IN
122300000X
Dentist
Primary
9822
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2020
Last updated
03/26/2021
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