Individual
ANGELA ISABELL JUSTICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
2005 KNIGHT LANE, NAVY MEDICINE SUPPORT COMMAND BLDG H 2005, JACKSONVILLE, FL 32212-0140
(619) 556-8240
Mailing address
350 K ST UNIT 610, SAN DIEGO, CA 92101-6995
(304) 680-3239
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9439
OR
Other
Enumeration date
08/04/2010
Last updated
08/04/2010
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