MEGAN ARELLANO HANVIVATPONG

PORT ST LUCIE, FL
NPI1891295523
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: FL  DN25364)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-02-19
Last Update Date2020-09-15
Business Address
MEGAN ARELLANO HANVIVATPONG DDS
1321 NW SAINT LUCIE WEST BLVD
PORT ST LUCIE, FL 34986-2139
Phone number: 772-343-0179
Mailing Address
MEGAN ARELLANO HANVIVATPONG DDS
1321 NW SAINT LUCIE WEST BLVD
PORT ST LUCIE, FL 34986-2139
Phone number: 772-343-0179