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Organization
SELENA L MARCHAN, DMD, PA
Active
Organization
SELENA L MARCHAN, DMD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SELENA L MARCHAN DMD (OWNER)
(904) 221-5678
Entity
Organization
Contact information
Practice address
13475 ATLANTIC BLVD, STE 36, JACKSONVILLE, FL 32225-3291
(904) 246-2603
(904) 247-9663
Mailing address
13475 ATLANTIC BLVD STE 36, JACKSONVILLE, FL 32225-3290
(904) 221-5678
(904) 220-5678
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN13459
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
816281
UNITED CONCORDIA
FL
Enumeration date
11/13/2007
Last updated
03/01/2015
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