Individual
BAYAN FARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BDS MSD ORTHODONTICS
Contact information
Practice address
5491 DOLPHIN POINT BLVD, JACKSONVILLE, FL 32211-3221
(904) 256-7846
Mailing address
5491 DOLPHIN POINT BLVD, JACKSONVILLE, FL 32211-3221
(904) 256-7846
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
871
FL
Other
Enumeration date
03/12/2026
Last updated
03/12/2026
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