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Individual

MARIAN N GERGES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
5306 VAN DYKE RD, LUTZ, FL 33558-4829
(813) 960-3300
(813) 960-3310
Mailing address
5306 VAN DYKE RD, LUTZ, FL 33558-4829
(813) 960-3300
(813) 960-3310

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN20066
FL

Other

Enumeration date
07/11/2012
Last updated
08/05/2015
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