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NPI Code Detail

MEDICARE: MRC DENTAL GROUP

MEDICARE: MRC DENTAL GROUP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist

General Provider Information

NPI Number : 1366977282
Entity Type Code : Organization
Provider Name (Legal Business Name) : MRC DENTAL GROUP
Provider Business Mailing Address
First Line : 425 S AVALON PARK BLVD STE 500
Second Line :
City : ORLANDO
State : FL
Zip : 32828-6703
Country : US
Telephone Number : 407-249-9292
Fax Number :
Provider Business Practice Location Address
First Line : 425 S AVALON PARK BLVD STE 500
Second Line :
City : ORLANDO
State : FL
Zip : 32828-6703
Country : US
Telephone Number : 407-249-9292
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. MARC R CHAPKIS
Credential : DMD
Telephone Number : 407-249-9292
Provider Enumeration Date : 04/28/2017
Last Update Date : 04/28/2017

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Directions to “MRC DENTAL GROUP ” Practice Location

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