Individual
DR. MARIOLI LUCIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2800 UNIVERSITY BLVD N, JACKSONVILLE, FL 32211-3394
(904) 256-7846
Mailing address
361 CALLE GALILEO APT 2K, SAN JUAN, PR 00927-4511
(787) 232-8046
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN29450
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/15/2023
Last updated
07/29/2024
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