Individual
DR. MARISA REAGAN CHANIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3301 COLLEGE AVE, DAVIE, FL 33314-7721
(407) 509-0187
Mailing address
4206 SW 70TH TER, DAVIE, FL 33314-3126
(407) 509-0187
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
26117
FL
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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