SELENA L MARCHAN DMD PA NPI 1003096579

NPI Information

SELENA L MARCHAN, DMD, PA is a general practice dentist in Jacksonville, FL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. SELENA L MARCHAN, DMD, PA NPI is 1003096579. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13475 ATLANTIC BLVD
STE 36
JACKSONVILLE, FL
ZIP 32225-291
Phone: (904) 246-2603
Fax: (904) 247-9663

The provider's authorized official is Selena L Marchan .
The authorized official title is Owner and has the following contact phone number (904) 221-5678.

The enumeration date for this NPI number is 11/13/2007 and was last updated on 3/1/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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