Individual
DR. DENNIS MORRIS MAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
NAVAL HOSPITAL, 2080 CHILD ST, JACKSONVILLE, FL 32214-0001
(904) 542-7542
Mailing address
NAVAL HOSPITAL, 2080 CHILD ST, JACKSONVILLE, FL 32214-0001
(904) 542-7542
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
19022461
IL
Other
Enumeration date
01/09/2006
Last updated
07/22/2008
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