Individual
DR. JAYANTHI CHOPRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MD
Contact information
Practice address
257 E EAU GALLIE BLVD, INDIAN HARBOUR BEACH, FL 32937-4873
(321) 426-7816
Mailing address
257 E EAU GALLIE BLVD, INDIAN HARBOUR BEACH, FL 32937-4873
(321) 426-7816
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
054579
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN18935
FL
Other
Enumeration date
02/02/2009
Last updated
08/31/2015
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