Individual
DR. DEBORA G. DE FARIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S, MS
Contact information
Practice address
7740 POINT MEADOWS DR, SUITE 4, JACKSONVILLE, FL 32256-9179
(904) 645-6457
(904) 645-6459
Mailing address
11475 HALETHORPE DR, JACKSONVILLE, FL 32223-1313
(904) 288-9503
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17099
FL
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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