Individual
DR. JACQUELENE GILBERT FARNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
11528 SAN JOSE BLVD, MANDARIN, FL 32223
(904) 262-2551
(904) 262-2930
Mailing address
11528 SAN JOSE BLVD, MANDARIN, FL 32223
(904) 262-2551
(904) 262-2930
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN0008863
FL
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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