Individual
VANNI RUSS STRENTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3914 BLANDING BLVD, JACKSONVILLE, FL 32210-5413
(904) 573-9560
(904) 573-9562
Mailing address
3914 BLANDING BLVD, JACKSONVILLE, FL 32210-5413
(904) 573-9560
(904) 573-9562
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN13548
FL
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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