Marvin C Wells D.M.D.

NPI 1063416055 - Dentist - 1223S0112X

NPI Details
NPI 1063416055
Gender Male
Enumeration Date 06/08/2005
Last Updated 11/01/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
4225 SOUTHPOINT PKWY S
JACKSONVILLE FL, 32216-0975, US
Phone (904) 296-2226
Fax (904) 296-8887
Business Location
4225 SOUTHPOINT PKWY S
JACKSONVILLE FL, 32216-0975, US
Phone (904) 296-2226
Fax (904) 296-8887
Toxanomy
Taxonomy Code 1223S0112X
License State Florida
License Number 8078
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According to our database, Dr. Marvin C Wells D.M.D. NPI is 1063416055, taxonomy code is 1223S0112X and license number is 8078, license state is located at Florida. Marvin C Wells D.M.D. physically located at 4225 Southpoint Pkwy S, Jacksonville FL, 32216-0975. NPI Number Marvin C Wells D.M.D. has the Individual type.

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1063416055 NPI number is provided on an as is basis without warranty of any kind. 1063416055 is maintained by the National Plan & Provider Enumeration System. The contents of Marvin C Wells D.M.D. are for informational purposes only.