Individual
DR. JOHN ROBERT MAGNACCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
900 NW 13TH ST, SUITE 202, BOCA RATON, FL 33486-2335
(561) 391-6234
(561) 391-0743
Mailing address
900 NW 13TH STREET, SUITE 202, BOCA RATON, FL 33486
(561) 391-6234
(561) 391-0743
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
06221
FL
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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