Jessica Lauren Chi, DDS
Dentist in Jacksonville, FL. Individual provider (NPI-1).
NPI number1114101508
StatusActive
Last updated in NPPESFeb 5, 2009
Details
- NPI
- 1114101508
- Entity type
- Individual (NPI-1)
- Name
- Jessica Lauren Chi
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 21, 2007
- Last updated
- Feb 5, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 56647 | CA | Yes |
Practice location
Navy Medicine Support Command Attn: Medical Staff SvcsBldg H 2005 Knight Lane
Jacksonville, FL 32212-0140
Phone 928-269-2353
Mailing address
2350 S Avenue B Apt 1714Yuma, AZ 85364-8825
Phone 985-381-2231
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