Individual
CHRISTOPHER FRACCARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
9200 113TH ST, SEMINOLE, FL 33772-2800
(727) 394-6064
Mailing address
9200 113TH ST, SEMINOLE, FL 33772-2800
(727) 394-6064
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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