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Organization
MICHELLE MARCONNETTE, D.D.S., INC.
Active
Organization
MICHELLE MARCONNETTE, D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE S. MARCONNETTE-BENDER D.D.S. (OWNER)
(760) 868-4600
Entity
Organization
Contact information
Practice address
3936 PHELAN RD STE A4, PHELAN, CA 92371-4142
(760) 868-4600
(760) 868-8449
Mailing address
3936 PHELAN RD STE A4, PHELAN, CA 92371-4142
(760) 868-4600
(760) 868-8449
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
43464
CA
Other
Enumeration date
10/21/2006
Last updated
04/30/2009
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