Individual
LILIANA MERCEDES MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2186 HARRIS AVE NE, SUITE 3, PALM BAY, FL 32905-4044
(321) 723-2620
Mailing address
2186 HARRIS AVE NE, SUITE 3, PALM BAY, FL 32905-4044
(321) 723-2620
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
87441
FL
Other
Enumeration date
10/28/2006
Last updated
09/05/2013
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