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Organization
JACK M. MARINCEL, D.D.S., P.C.
Active
Organization
JACK M. MARINCEL, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MICHAEL MARINCEL D.D.S. (PRESIDENT)
(314) 846-1480
Entity
Organization
Contact information
Practice address
6060 TELEGRAPH RD, SUITE H, SAINT LOUIS, MO 63129-4762
(314) 846-1480
Mailing address
6060 TELEGRAPH RD, SUITE H, SAINT LOUIS, MO 63129-4762
(314) 846-1480
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
13331
MO
Other
Enumeration date
08/16/2006
Last updated
08/22/2020
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