Individual
DR. JUSTIN MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSD, DMD, MS
Contact information
Practice address
7410 MERRILL RD STE 2, JACKSONVILLE, FL 32277-6547
(904) 619-7140
Mailing address
7410 MERRILL RD STE 2, JACKSONVILLE, FL 32277-6547
(904) 619-7140
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN20940
FL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN20940
FL
Other
Enumeration date
10/14/2014
Last updated
12/02/2019
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