Individual
GINA FAJCAKOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
7801 9TH ST N, ST PETERSBURG, FL 33702-1108
(727) 525-4499
Mailing address
2481 NE COACHMAN RD APT 204, CLEARWATER, FL 33765-1708
(330) 240-7321
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH25175
FL
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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