Individual
DR. JACQUELINE VINEYARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MS
Contact information
Practice address
515 1ST AVE S, TIERRA VERDE, FL 33715-2236
(727) 410-5985
Mailing address
515 1ST AVE S, TIERRA VERDE, FL 33715-2236
(727) 410-5985
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN21290
FL
Other
Enumeration date
08/09/2015
Last updated
12/16/2018
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