Individual
DR. DANIELLE MARIE MARQUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
BUREAU OF MEDICINE AND SURGERY 554 KEILY ST., CENTRALIZED CREDENTIALS AND PRIVILEGING DIRECTORATE, JACKSONVILLE, FL 32212
(757) 953-7011
Mailing address
BUREAU OF MEDICINE AND SURGERY 554 KEILY ST., CENTRALIZED CREDENTIALING AND PRIVILEGING DIRECTORATE, JACKSONVILLE, FL 32212
(757) 953-7011
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8725141-8903
UT
Other
Enumeration date
07/23/2013
Last updated
07/23/2013
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