DR. Jacqueline Fonseca, DMD

NPI #1487005369 in Sunrise, Florida

Provider Information

NPI Number
1487005369
Entity Type
Individual
Name
DR. Jacqueline Fonseca, DMD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DMD
Enumeration Date
Jun 22, 2016
Last Updated
Jan 8, 2018

Practice Location

Address
10108 W OAKLAND PARK BLVD
State
Florida
ZIP Code
33351-6963
Phone
(954) 900-2059

Specialties & Taxonomy Codes

Specialty
Dentist

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