Individual
DR. GARY CARDOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
815 CHENEY HWY, TITUSVILLE, FL 32780-6960
(321) 268-0108
Mailing address
815 CHENEY HWY, TITUSVILLE, FL 32780-6960
(321) 268-0180
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN21441
FL
Other
Enumeration date
05/28/2014
Last updated
09/14/2018
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