| NPI | 1275835860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL V. MARCHIGIANO Dentist 904-223-8001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 12746) |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2010-12-02 |