Individual
DIANNE FRANCES GAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1144 14TH STREET NORTH, JACKSONVILLE BEACH, FL 32250
(727) 481-4965
Mailing address
1144 14TH ST N, JACKSONVILLE BEACH, FL 32250-3662
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH10353
FL
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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