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Individual

DR. MARIE JANE BASCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
2771 MONUMENT RD STE 21, JACKSONVILLE, FL 32225-3514
(904) 641-3732
(904) 641-0225
Mailing address
2771 MONUMENT RD STE 21, JACKSONVILLE, FL 32225-3514
(904) 641-3732
(904) 641-0225

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN12863
FL

Other

Enumeration date
07/24/2006
Last updated
11/02/2023
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