MARK GAPONIUK

VERO BEACH, FL
NPI1003012212
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: FL  DN22364)
Additional Taxonomies122300000X Dentist
(Licence: PA  DS031205L)
Enumeration Date2007-06-25
Last Update Date2017-02-21
Business Address
Dr. MARK GAPONIUK D.M.D
1545 9TH ST SW
VERO BEACH, FL 32962-4312
Phone number: 772-257-8224
Mailing Address
Dr. MARK GAPONIUK D.M.D
1545 9TH ST SW
VERO BEACH, FL 32962-4312
Phone number: 772-257-8224
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