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Individual
MARVIN MICHAEL SLOTT
Active
Individual
MARVIN MICHAEL SLOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS ORAL SURGEON
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DN5801
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85255
BCBS
—
Enumeration date
07/14/2006
Last updated
02/27/2008
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