Individual
ELAHEH HABIBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3316 3RD ST S STE 101, JACKSONVILLE, FL 32250-6090
(904) 853-6888
Mailing address
10961 BURNT MILL RD APT 712, JACKSONVILLE, FL 32256-4669
(904) 400-8044
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
29476
FL
Other
Enumeration date
08/05/2024
Last updated
08/06/2024
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