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Individual

DR. LOUIS JOSEPH MARCONYAK JR.

Active
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Individual

DR. LOUIS JOSEPH MARCONYAK JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
0401411087
VA
1223E0200X
Endodontics
Primary
0401444087
VA

Other

Enumeration date
12/14/2005
Last updated
04/12/2018
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