MICHELLE ICASIANO

Oral and Maxillofacial Surgery (Dentist) · FORT BENNING, GA

Individual Active NPI 1083700793

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Oral and Maxillofacial Surgery (Dentist)1223S0112XDS029194LPA

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.