Individual
DIANA N. KINYUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1036-42 DUNN AVE, JACKSONVILLE, FL 32218-6359
(904) 714-9909
Mailing address
1036-42 DUNN AVE, JACKSONVILLE, FL 32218-6359
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 21411
FL
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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