Marijan De Vanna

NPI #1053202093 in Hialeah, Florida

Provider Information

NPI Number: 1053202093
Entity Type: Individual
Name: Marijan De Vanna
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Jul 9, 2025
Last Updated: Jul 9, 2025

Practice Location

Address: 1096 W 49TH ST
City: Hialeah
State: Florida
ZIP Code: 33012-3322
Phone: (305) 370-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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