Individual
DR. JUSTIN JOSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
51 HUNTFIELD DR STE 100, SMYRNA, DE 19977-2973
(302) 508-0037
Mailing address
1713 W 13TH ST, WILMINGTON, DE 19806-4009
(443) 812-5562
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
G1-0001404
DE
390200000X
Student in an Organized Health Care Education/Training Program
0442000378
VA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/26/2016
Last updated
08/03/2024
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