Individual
ELSSY CAROLYNNE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6416 ARLINGTON RD, JACKSONVILLE, FL 32211-5411
(904) 701-3883
Mailing address
6416 ARLINGTON RD, JACKSONVILLE, FL 32211-5411
(904) 701-3883
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN23728
FL
Other
Enumeration date
02/28/2018
Last updated
12/03/2020
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