Individual
JACOB BUENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1600 SW ARCHER RD # D7-6, GAINESVILLE, FL 32610-3003
(352) 273-6750
(352) 392-7609
Mailing address
1600 SW ARCHER RD # D7-6, GAINESVILLE, FL 32610-0416
(352) 273-6750
(352) 392-7609
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
29660
FL
Other
Enumeration date
06/20/2024
Last updated
10/23/2024
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