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Individual
RONALD J MARSH
Active
Individual
RONALD J MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
6293
WA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D9479
OR
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
6293
WA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
D9479
OR
Other
Enumeration date
07/17/2006
Last updated
11/25/2014
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