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11399 Overseas Hwy Ste 5 Marathon FL 33050-3412 | |
(305) 247-5161 | |
(305) 247-5120 |
Full Name | |
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Speciality | Dentist |
Location | 11399 Overseas Hwy Ste 5, Marathon, Florida |
Authorized Official Name and Position | Lester O Gil (PRESIDENT/DR) |
Authorized Official Contact | 3052475161 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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11399 Overseas Hwy Suite#5 Marathon FL 33050 Ph: (305) 247-5161 | 11399 Overseas Hwy Ste 5 Marathon FL 33050-3412 Ph: (305) 247-5161 |
NPI Number | 1326396748 |
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Provider Enumeration Date | 08/15/2012 |
Last Update Date | 08/15/2012 |
Identifier | Type | State | Issuer |
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1326396748 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | DN18301 (Florida) | Primary |
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