Individual
DR. JENNIFER HARGRAVE GERIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
100 WHETSTONE PL, SUITE 308, ST AUGUSTINE, FL 32086-5774
(904) 810-2345
(904) 810-5334
Mailing address
100 WHETSTONE PL, SUITE 308, ST AUGUSTINE, FL 32086-5774
(904) 810-2345
(904) 810-5334
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN15671
FL
Other
Enumeration date
07/14/2009
Last updated
01/05/2010
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