Most Relevant Information
Provider Data
| NPI Number: | 1003012212 |
| Provider Name: | MARK GAPONIUK D.M.D |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | DN22364 |
Most Important Dates
| Enumeration Date: | 06/25/2007 |
| Last Updated: | 02/21/2017 |
Provider Practice Location
1545 9TH ST SW
VERO BEACH
FL
329624312
Practice Location Phone/Fax
| Phone: | 7722578224 |
| Fax: | 7722133157 |
Provider Mailing Location
1545 9TH ST SW
VERO BEACH
FL
329624312
Provider Mailing Phone/Fax
| Phone: | 7722578224 |
| Fax: | 7722133157 |