Individual
DR. MARISSA HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
13927 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL 32258-5486
(904) 643-4075
Mailing address
1727 BLUE RIDGE DR, JACKSONVILLE, FL 32246-4099
(860) 420-8866
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN28429
FL
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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