Individual
AISHA BA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5455 SPRINGFIELD BLVD, JACKSONVILLE, FL 32208-5166
(904) 394-4963
Mailing address
5455 SPRINGFIELD BLVD, JACKSONVILLE, FL 32208-5166
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0000011760
TN
Other
Enumeration date
02/03/2021
Last updated
07/30/2025
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