Individual
JUSTIN FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7305 N MILITARY TRL, RIVIERA BEACH, FL 33410-7417
(561) 422-8262
Mailing address
2103 59TH ST W, BRADENTON, FL 34209-7015
(941) 792-2766
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN27793
FL
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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