Organization
ROSS H FISHMAN, DMD, MS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSS FISHMAN D.M.D. (PRESIDENT)
(904) 477-0282
Entity
Organization
Contact information
Practice address
552 JACKSONVILLE DR, JACKSONVILLE BEACH, FL 32250-3813
(904) 247-4097
(904) 247-8495
Mailing address
552 JACKSONVILLE DR, JACKSONVILLE BEACH, FL 32250-3813
(904) 247-4097
(904) 247-8495
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN 16716
FL
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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