Egao Pllc
General Practice Dentistry in Jacksonville, FL(View on Map)
Legal Business Name
Egao Pllc
NPI Number
1760214530
NPI Type
Organization
Enumeration Date
08/19/2024
Specialties
(Taxonomies)Name
Code
1223G0001X
122300000X
1223E0200X
1223P0106X
1223X0400X
1223P0300X
Primary Taxonomy
Yes
No
No
No
No
No
Contact
Information
Purpose
Mailing
Location
Address
1550 RIVERSIDE AVE
1550 RIVERSIDE AVE
City
Jacksonville
Jacksonville
State
FL
FL
Postal Code
32204-4161
32204-4161
Country
US
US
Telephone Number
N/A
(518) 466-4294
Authorized Official
Name
Dr. Jasmine Shakya
Title or Position
DENTIST/OWNER
Telephone Number
(518) 466-4294
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/19/2024
Provider Address
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