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Individual

MARVIN MICHAEL SLOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS ORAL SURGEON

Contact information

Practice address
6801 NW 9 BLVD, #1, GAINESVILLE, FL 32605
(352) 331-2016
(352) 331-1676
Mailing address
6801 NW 9 BLVD, #1, GAINESVILLE, FL 32605
(352) 331-2016
(352) 331-1676

Taxonomy

Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DN5801
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
85255
BCBS
Enumeration date
07/14/2006
Last updated
02/27/2008
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