Tina M Marshall DDS PC
Clinic/Center, Dental in Lake Orion, MI. Organization (NPI-2).
NPI number1164040465
StatusActive
Last updated in NPPESJul 13, 2020
Details
- NPI
- 1164040465
- Entity type
- Organization (NPI-2)
- Legal business name
- Tina M Marshall DDS PC
- Organization subpart
- No
- Enumeration date
- Jul 13, 2020
- Certification date
- Jul 13, 2020
- Last updated
- Jul 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
2951 S Baldwin RdLake Orion, MI 48360-1665
Phone 248-391-1200 · Fax 248-391-1201
Mailing address
2951 S Baldwin RdLake Orion, MI 48360-1665
Phone 248-391-1200 · Fax 248-391-1201
Authorized official
Tina M Marshall
Owner
2483911200
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