Individual
DR. ANNISSA MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7551 OSCEOLA POLK LINE ROAD, DAVENPORT, FL 33896
(863) 852-1195
Mailing address
7551 OSCEOLA POLK LINE ROAD, DAVENPORT, FL 33896
(863) 852-1195
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN21211
FL
Other
Enumeration date
06/12/2015
Last updated
06/12/2015
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