Individual
MARCO A ALBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MPH
Contact information
Practice address
14400 49TH ST N, ATTN: NORTH DIVISION MEDICAL, CLEARWATER, FL 33762-2877
(727) 464-6415
Mailing address
14400 49TH ST N, ATTN: NORTH DIVISION MEDICAL, CLEARWATER, FL 33762-2877
(727) 464-6415
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
DN 9764
FL
1223G0001X
General Practice Dentistry
DE00009957
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004418100
—
FL
05
—
5037171
—
WA
Enumeration date
02/26/2007
Last updated
11/19/2015
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