JAN F DELASSEN

ST PETERSBURG, FL
NPI1093971905
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: FL  DN18469)
Enumeration Date2008-07-30
Last Update Date2008-07-30
Business Address
-- JAN F DELASSEN
1344 22ND ST S
ST PETERSBURG, FL 33712-2744
Phone number: 727-824-8177
Mailing Address
-- JAN F DELASSEN
1344 22ND ST S
ST PETERSBURG, FL 33712-2744
Phone number: 727-824-8177
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