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Individual

DR. ELVIRA CHICCARELLI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
110 LOGAN LN STE 5, SANTA ROSA BEACH, FL 32459-5780
(850) 321-0321
Mailing address
110 LOGAN LN STE 5, SANTA ROSA BEACH, FL 32459-5780
(850) 321-0321

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN7555
FL

Other

Enumeration date
11/16/2006
Last updated
07/08/2007
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