Individual
ANDREW BENJAMIN MANCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
14444 BEACH BLVD STE 2, JACKSONVILLE, FL 32250-2010
(904) 223-4939
(904) 903-4551
Mailing address
600 TECHNOLOGY PARK STE 101, LAKE MARY, FL 32746-7122
(407) 543-8509
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN23921
FL
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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