Individual
MARISSA ALBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8605 STATE ROAD 70 E, BRADENTON, FL 34202-3707
(941) 782-8990
Mailing address
1555 PENNWOOD CIR N, CLEARWATER, FL 33756-1712
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN27961
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2023
Last updated
07/12/2023
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