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Individual
DR. MIKE H MARCANTONIO
Active
Individual
DR. MIKE H MARCANTONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN16776
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1941867
UNITED CONCORDIA
PA
Enumeration date
05/24/2007
Last updated
07/08/2007
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