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Individual

DR. JACOB L ARMANIOUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
150 S PENINSULA DR, DAYTONA BEACH, FL 32118-4490
(386) 253-7276
Mailing address
PO BOX 265566, DAYTONA BEACH, FL 32126-5566
(386) 253-7276

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8083
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0764345-00
FL
Enumeration date
06/04/2007
Last updated
01/11/2011
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