Individual
MISS MARIVIC BAUTISTA PANOPIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1245 NW 119TH ST, NORTH MIAMI, FL 33167-3231
(305) 685-7863
(305) 687-7603
Mailing address
1245 NW 119TH ST, NORTH MIAMI, FL 33167-3231
(305) 685-7863
(305) 687-7603
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH18958
FL
Other
Enumeration date
07/02/2009
Last updated
07/02/2009
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