Salloum, Lisa Gabrielle

Salloum, Lisa Gabrielle is an individual health care provider with primary practice located at 9000 Golfside Dr Suite A, Jacksonville FL 32256-7793. She recently has only one registered license in Dental Providers / Periodontics, which is considered as her primary health care specialty. Salloum, Lisa Gabrielle can be contacted via phone (904) 737-8410.

Contact Information

Primary practice address

9000 Golfside Dr Suite A Jacksonville FL 32256-7793

Phone: (904) 737-8410

Fax: (904) 367-1739

Website:

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Health care specialties

Specialty	Code	License #	State
Dental Providers / Periodontics	1223P0300X	DN12847	Florida

Profile Details

NPI number	1588809206
LBN Legal business name	Salloum, Lisa Gabrielle
Credentials	Doctor of Dental Surgery (DDS)
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Dec 9th, 2008
Last updated	Dec 9th, 2008 - about 16 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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