Individual
TOMAS PAUL MARRECAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
5323 W 20TH AVE, HIALEAH, FL 33012-2100
(305) 556-5966
Mailing address
16400 S POST RD, APT 204, WESTON, FL 33331-3580
(954) 253-5336
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
22D102266700
NJ
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN 18230
FL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DS031546L
PA
Other
Enumeration date
07/02/2007
Last updated
04/07/2009
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