Individual
DR. JESSICA JOMAYRA MACAGNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
3750 W 16TH AVE, 236-U, HIALEAH, FL 33012-4654
(305) 231-0545
Mailing address
1052 NW 129TH CT, MIAMI, FL 33182-2328
(305) 303-5172
(786) 953-4269
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN19974
FL
Other
Enumeration date
02/11/2013
Last updated
02/11/2013
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