Individual
LILIA JOY TABASSIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3791 PALM VALLEY RD STE 205, PONTE VEDRA BEACH, FL 32082-4180
(904) 834-2736
Mailing address
3791 PALM VALLEY RD STE 205, PONTE VEDRA BEACH, FL 32082-4180
(904) 834-2736
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
26978
FL
Other
Enumeration date
02/25/2022
Last updated
06/18/2024
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