Individual
DR. MARK WILLIAM FEDELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
500 NW DIXIE HWY, SUITE 200, STUART, FL 34994
(772) 692-6996
(772) 692-7787
Mailing address
500 NW DIXIE HWY, SUITE 200, STUART, FL 34994
(772) 692-6996
(772) 692-7787
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN12691
FL
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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