Individual
DR. JACKLYN K MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MPH
Contact information
Practice address
1395 CENTER DR # D1-17, GAINESVILLE, FL 32610-5720
(352) 273-5430
Mailing address
1395 CENTER DR # D1-17, GAINESVILLE, FL 32610-3006
(352) 789-6990
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN22698
FL
Other
Enumeration date
06/12/2017
Last updated
10/05/2020
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