Individual
KELSEY WAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3600 CARDINAL POINT DR, JACKSONVILLE, FL 32257-5581
(904) 737-4626
Mailing address
3600 CARDINAL POINT DR, JACKSONVILLE, FL 32257-5581
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22605
FL
Other
Enumeration date
07/09/2017
Last updated
10/07/2022
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