Individual
MICHELLE LOURDES JACOMINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
29 BEE ST, CHARLESTON, SC 29425-0001
(843) 792-1414
Mailing address
255 GALEN DR APT 3K, KEY BISCAYNE, FL 33149-1957
(305) 979-0603
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
26955
FL
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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