Individual
AMER SBEIH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
651 NAUTICA DR, JACKSONVILLE, FL 32218-7222
(904) 423-4014
Mailing address
2711 CASSIA LN, JACKSONVILLE, FL 32246-0022
(407) 634-9710
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN30385
FL
Other
Enumeration date
04/21/2025
Last updated
06/09/2025
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