Individual
DR. DIANE PATRICE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
4670 LIPSCOMB ST NE, SUITE 13, PALM BAY, FL 32905-2927
(321) 724-1343
(321) 724-1843
Mailing address
4670 LIPSCOMB ST NE, SUITE 13, PALM BAY, FL 32905-2927
(321) 724-1343
(321) 724-1843
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN10077
FL
Other
Enumeration date
03/27/2007
Last updated
07/09/2007
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