Individual
MS. ALISA GOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
964 AJAX STREET, JACKSONVILLE, FL 32214-0001
(904) 546-7101
Mailing address
964 AJAX STREET, JACKSONVILLE, FL 32214-0001
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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