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1962473793
MICHAEL GLENN MAUCK
WELLINGTON, FL
NPI
1962473793
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: FL dn9881)
Enumeration Date
2006-01-30
Last Update Date
2007-09-04
Business Address
Dr. MICHAEL GLENN MAUCK dmd
1051 S STATE ROAD 7 # 441 BLDG. G, SUITE #1
WELLINGTON, FL 33414-6135
Phone number: 561-790-0206
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Mailing Address
Dr. MICHAEL GLENN MAUCK dmd
1051 S STATE ROAD 7 # 441 BLDG. G, SUITE #1
WELLINGTON, FL 33414-6135
Phone number: 561-790-0206
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