Individual
FANCHON ANTOINETTE JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4330 W BROWARD BLVD STE T, PLANTATION, FL 33317-3754
(954) 587-1800
Mailing address
14501 NW 5TH AVE, MIAMI, FL 33168-4105
(786) 657-9150
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN24968
FL
Other
Enumeration date
04/06/2020
Last updated
06/19/2020
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