Mark Thomas Damerau DMD

NPI 1053433201 - Dentist - 122300000X

NPI Details
NPI 1053433201
Gender Male
Enumeration Date 04/06/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
400 VILLAGE SQUARE CROSSING
PALM BEACH GARDENS FL, 33410-3220, US
Phone (561) 622-8988
Fax (561) 627-0778
Business Location
400 VILLAGE SQUARE CROSSING
PALM BEACH GARDENS FL, 33410-3220, US
Phone (561) 622-8988
Fax (561) 627-0778
Toxanomy
Taxonomy Code 122300000X
License State Florida
License Number 11954
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According to our database, Dr. Mark Thomas Damerau DMD NPI is 1053433201, taxonomy code is 122300000X and license number is 11954, license state is located at Florida. Mark Thomas Damerau DMD physically located at 400 Village Square Crossing, Palm Beach Gardens FL, 33410-3220. NPI Number Mark Thomas Damerau DMD has the Individual type.

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1053433201 NPI number is provided on an as is basis without warranty of any kind. 1053433201 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Thomas Damerau DMD are for informational purposes only.