Individual
DR. BOB W DEASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
765 MILL CREEK RD, JACKSONVILLE, FL 32211-6432
(904) 724-6321
(904) 721-6151
Mailing address
765 MILL CREEK RD, JACKSONVILLE, FL 32211-6432
(904) 724-6321
(904) 721-6151
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 6332
FL
Other
Enumeration date
03/26/2007
Last updated
09/24/2008
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