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Individual

MARIJAN DE VANNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1096 W 49TH ST, HIALEAH, FL 33012-3322
(305) 370-4000
Mailing address
7626 NE 6TH CT APT 2, MIAMI, FL 33138-5145
(305) 399-0028

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30732
FL

Other

Enumeration date
07/09/2025
Last updated
07/09/2025
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