MICHELLE ICASIANO

Oral and Maxillofacial Surgery (Dentist)

NPI: 1083700793Individual

Specialties, Licenses & Credentials

Oral and Maxillofacial Surgery (Dentist)Primary

Dentist — Oral and Maxillofacial Surgery

Code: 1223S0112X

DS029194L(PA)

Contact & Hours

Address: 7101 HOFF ST BLDG 9240, USA DENTAL ACTIVITY
FORT BENNING, GA 31905
Phone: (706) 544-4530

Quick Facts

NPI: 1083700793
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

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