Individual
LUIZ THIAGO PEREIRA DE CARVALHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2797 SAINT JOHNS BLUFF RD S, JACKSONVILLE, FL 32246-3703
(904) 966-4560
Mailing address
2797 SAINT JOHNS BLUFF RD S, JACKSONVILLE, FL 32246-3703
(904) 966-4560
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
107746
CA
122300000X
Dentist
Primary
DN31629
FL
Other
Enumeration date
09/05/2022
Last updated
06/15/2026
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