BASIL JAN

JACKSONVILLE, FL
NPI1184468357
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: FL  DN28716)
Enumeration Date2024-06-22
Last Update Date2024-06-22
Business Address
BASIL JAN
5491 DOLPHIN POINT BLVD
JACKSONVILLE, FL 32211-3221
Phone number: 904-312-0960
Mailing Address
BASIL JAN
12517 BEACH BLVD
JACKSONVILLE, FL 32246-7191
Phone number: 904-312-0960