ANGEL HARDISON
Dental Hygienist
Active
Individual
NPI: 1720496631
Practice Address
554 KEILY STREETBUREAU OF MEDICINE AND SURGERY CCPD
Jacksonville, FL 32212
Phone: (757) 953-6509
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dental Hygienist | 124Q00000X | Yes | 0402206280 (VA) |
Frequently Asked Questions
NPI 1720496631 is the National Provider Identifier for ANGEL HARDISON, a Dental Hygienist provider located in Jacksonville, FL. This NPI was enumerated on July 24, 2014.
ANGEL HARDISON practices at 554 KEILY STREET, BUREAU OF MEDICINE AND SURGERY CCPD, Jacksonville, FL 32212.
Quick Facts
- NPI
- 1720496631
- Type
- Individual
- Enumerated
- Jul 24, 2014
- Last Updated
- Jul 24, 2014
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