Individual
JACQUELYN OLBINA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1699 S 14TH ST STE 21, FERNANDINA BEACH, FL 32034-1965
(904) 277-8500
Mailing address
1699 S 14TH ST STE 21, FERNANDINA BEACH, FL 32034-1965
(904) 277-8500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DL20231
FL
Other
Enumeration date
07/03/2013
Last updated
12/03/2014
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