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Individual
DR. EDWARD SALVATORE MORTELLARO JR.
Active
Individual
DR. EDWARD SALVATORE MORTELLARO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN 8061
FL
Other
Enumeration date
04/04/2013
Last updated
04/04/2013
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