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Individual

DR. RICHARD WAYNE JOSEPH SR.

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
5101-1 GATE PARKWAY, JACKSONVILLE, FL 32256
(904) 807-9898
(904) 807-9873
Mailing address
5101-1 GATE PARKWAY, JACKSONVILLE, FL 32256
(904) 807-9898
(904) 807-9873

Taxonomy

Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DN5747
FL

Other

Enumeration date
10/24/2005
Last updated
07/08/2007
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