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Individual

MARY JAZZAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
6807 46TH TER E, BRADENTON, FL 34203-4251
(941) 752-4860
(941) 752-4860
Mailing address
6807 46TH TER E, BRADENTON, FL 34203-4251
(941) 752-4860
(941) 752-4860

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
2902003339
MI
124Q00000X
Dental Hygienist
7512
NC
124Q00000X
Dental Hygienist
Primary
DH20699
FL

Other

Enumeration date
08/27/2016
Last updated
08/27/2016
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