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1487005369
JACQUELINE FONSECA
SUNRISE, FL
NPI
1487005369
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: FL DN21846)
Enumeration Date
2016-06-22
Last Update Date
2018-01-08
Business Address
Dr. JACQUELINE FONSECA DMD
10108 W OAKLAND PARK BLVD
SUNRISE, FL 33351-6963
Phone number: 954-900-2059
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Mailing Address
Dr. JACQUELINE FONSECA DMD
10108 W OAKLAND PARK BLVD
SUNRISE, FL 33351-6963
Phone number: 954-900-2059
Copy
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