Individual
DR. JOSHUA LEON BLIMBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
12058 SAN JOSE BLVD STE 102, JACKSONVILLE, FL 32223-8669
(904) 880-3131
Mailing address
12058 SAN JOSE BLVD STE 102, JACKSONVILLE, FL 32223-8669
(954) 802-8061
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN21484
FL
1223G0001X
General Practice Dentistry
D009321
AZ
1223G0001X
General Practice Dentistry
DN21484
FL
Other
Enumeration date
10/29/2015
Last updated
10/18/2018
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