Individual
DR. AILLEEN ACOSTA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4520 TOWN CENTER PWAY, #103, JACKSONVILLE, FL 32246
(904) 580-7861
Mailing address
12151 SILVER SADDLE DR, JACKSONVILLE, FL 32258-1212
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN25909
FL
Other
Enumeration date
06/11/2021
Last updated
08/13/2021
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