NPI 1003096579

Selena L Marchan, DMD, PA

Organisation General Practice Dentistry Jacksonville, FL

Practice location

Address: 13475 Atlantic Blvd STE 36, Jacksonville, FL 32225-3291
Phone: (904) 246-2603
Fax: (904) 247-9663
Mailing address: 13475 Atlantic Blvd STE 36, Jacksonville, FL 32225-3290

Authorised official

Name: Selena L Marchan
Title: Owner
Phone: (904) 221-5678

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence DN13459 (FL)

Other Dentist providers in Florida →

Registry record

NPI: 1003096579
Entity type: Organization
NPI issued: 13 Nov 2007
Record last updated: 1 Mar 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.