Individual
MS. DONNA MAHACEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2764 SEBASTIAN CT, JACKSONVILLE, FL 32224-2896
(904) 655-4259
Mailing address
2764 SEBASTIAN CT, JACKSONVILLE, FL 32224-2896
(904) 655-4259
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DN21909
FL
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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