Provider Demographics
NPI:1881821213
Name:PASQUIER, MARLON ALEJANDRO JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARLON
Middle Name:ALEJANDRO
Last Name:PASQUIER
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8279 SW 107TH AVE APT C
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3711
Mailing Address - Country:US
Mailing Address - Phone:786-219-6608
Mailing Address - Fax:
Practice Address - Street 1:7155 W FLAGLER ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2601
Practice Address - Country:US
Practice Address - Phone:305-267-1709
Practice Address - Fax:305-267-1758
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-11
Last Update Date:2009-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN18579122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist