Individual
JOANNA MAGAZINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5002 73RD AVE N, APPLE DENTAL AFFILIATES PA, PINELLAS PARK, FL 33781
(727) 544-7733
(727) 544-3150
Mailing address
300 E LONG LAKE, STE 311 CREST EXPRESSIONS DENTAL CENTERS, BLOOMFIELD HILLS, MI 48304
(248) 203-1119
(248) 723-0052
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN17816
FL
Other
Enumeration date
09/25/2007
Last updated
09/25/2007
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