Marissa Albert
Dentist in Bradenton, FL. Individual provider (NPI-1).
NPI number1558059097
StatusActive
Last updated in NPPESJul 12, 2023
Details
- NPI
- 1558059097
- Entity type
- Individual (NPI-1)
- Name
- Marissa Albert
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 24, 2023
- Certification date
- Jul 12, 2023
- Last updated
- Jul 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DN27961 | FL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
8605 State Road 70 EBradenton, FL 34202-3707
Phone 941-782-8990
Mailing address
1555 Pennwood Cir NClearwater, FL 33756-1712
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All 78 Dentist providers in Bradenton · All 5,544 providers in Bradenton
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