Individual
LOAY KABRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
611 E ADAMS ST, JACKSONVILLE, FL 32202-2847
(904) 359-0457
Mailing address
611 E ADAMS ST, JACKSONVILLE, FL 32202-2847
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN24412
FL
Other
Enumeration date
08/18/2019
Last updated
12/07/2020
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