Individual
DR. IAN MACKENZIE FARNHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
11528 SAN JOSE BLVD, JACKSONVILLE, FL 32223-7237
(904) 673-9717
Mailing address
11528 SAN JOSE BLVD, JACKSONVILLE, FL 32223-7237
(904) 673-9717
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 20520
FL
Other
Enumeration date
03/06/2014
Last updated
03/06/2014
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