Choice, Jeresia L

Choice, Jeresia L is an sole proprietor health care provider with primary practice located at 508 N Mills Ave , Orlando FL 32803-5353. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Choice, Jeresia L can be contacted via phone (407) 422-2617.

Contact Information

Primary practice address
508 N Mills Ave Orlando FL 32803-5353
Phone: (407) 422-2617
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DN18945 Florida

Profile Details

NPI number 1841587730
LBN Legal business name Choice, Jeresia L
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2011
Last updated Jul 27th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841587730 NPPES
Florida MEDICAID 008810400

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