PHILIP MANDRACCHIA

TALLAHASSEE, FL
NPI1336286871
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: FL  12017)
Enumeration Date2007-02-01
Last Update Date2007-07-08
Business Address
-- PHILIP MANDRACCHIA
2601 CAPITAL MEDICAL BLVD
TALLAHASSEE, FL 32308-4401
Phone number: 850-877-3164
Mailing Address
-- PHILIP MANDRACCHIA
2601 CAPITAL MEDICAL BLVD
TALLAHASSEE, FL 32308-4401
Phone number: