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Individual

DR. FRED I. MARCONI JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.,M.S.

Contact information

Practice address
19018 NE 29TH AVE, MIAMI, FL 33180-2823
(305) 932-4222
(305) 935-4322
Mailing address
19018 NE 29TH AVE, MIAMI, FL 33180-2823
(305) 932-4222
(305) 935-4322

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN13249
FL

Other

Enumeration date
03/25/2007
Last updated
07/08/2007
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