Individual
DONNA FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
410 NE WALDO RD, GAINESVILLE, FL 32641-5685
(352) 375-3790
(352) 375-3791
Mailing address
1302 RIVER ST, PALATKA, FL 32177-5042
(386) 326-7342
(386) 325-1086
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH22360
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DH22360
LICENSE
FL
Enumeration date
01/05/2015
Last updated
01/05/2015
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