Organization
JACKED DMD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC AARON CHRISTY DMD (OWNER DENTIST)
(860) 985-9883
Entity
Organization
Contact information
Practice address
2186 HARRIS AVE NE STE 3, PALM BAY, FL 32905-4044
(321) 723-2620
Mailing address
1534 SUMTER LN, MELBOURNE, FL 32904-8740
(860) 985-9883
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/29/2024
Last updated
06/29/2024
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