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Individual

DR. ADNAN HASONA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
9978 OLD BAYMEADOWS RD STE 1, JACKSONVILLE, FL 32256-7960
(904) 645-5015
Mailing address
11614 ALEXIS FOREST DR, JACKSONVILLE, FL 32258-2593
(904) 614-3112

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN19365
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003730900
FL
Enumeration date
06/28/2011
Last updated
04/24/2013
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