Individual
DR. JUSTINE KONANE CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4579 HWY 20 E SUITE 210, NICEVILLE, FL 32578
(850) 897-4200
(850) 897-4504
Mailing address
4579 HWY 20 E SUITE 210, NICEVILLE, FL 32578
(850) 897-4200
(850) 897-4504
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN-14797
FL
Other
Enumeration date
07/20/2006
Last updated
10/30/2018
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