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MARSHALL SCOTT BAILEY D.M.D.

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1710077078

Individual Registrant:
 MARSHALL SCOTT BAILEY D.M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
75 SAN MARCO AVE  SAINT AUGUSTINE, FL 32084-3257 US
Tel: 904-810-1002  Fax: 904-823-9784

Contact information for business:
75 SAN MARCO AVE  SAINT AUGUSTINE, FL 32084-3257 US
Tel: 904-810-1002  Fax: 904-823-9784

Registration Information:
NPI: 1710077078
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
FL15534

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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