Mark Gaponiuk D.M.D

NPI 1003012212 - Dentist - 122300000X

NPI Details
NPI 1003012212
Gender Male
Enumeration Date 06/25/2007
Last Updated 12/12/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
12196 COUNTY ROAD 512
FELLSMERE FL, 32948-5463, US
Phone (772) 571-1984
Fax (772) 571-1602
Business Location
12196 COUNTY ROAD 512
FELLSMERE FL, 32948-5463, US
Phone (772) 571-1984
Fax (772) 571-1602
Toxanomy
Taxonomy Code 122300000X
License State Pennsylvania
License Number DS031205L
Remove 1003012212 NPI Number
 

According to our database, Dr. Mark Gaponiuk D.M.D NPI is 1003012212, taxonomy code is 122300000X and license number is DS031205L, license state is located at Pennsylvania. Mark Gaponiuk D.M.D physically located at 12196 County Road 512, Fellsmere FL, 32948-5463. NPI Number Mark Gaponiuk D.M.D has the Individual type.

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1003012212 NPI number is provided on an as is basis without warranty of any kind. 1003012212 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Gaponiuk D.M.D are for informational purposes only.