# MARION DENTAL ASSOCIATES SANDU LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Marion Dental Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861991267
- **Authorized official:** OPAL F ANDERSON (REGIONAL OPERATIONS MANAGER)
- **Authorized official phone:** (740) 387-4804

## Contact information

- **Practice address:** 1241 E CENTER ST, MARION, OH 43302-4446
- **Practice address phone:** (740) 387-4804
- **Mailing address:** 1241 E CENTER ST, MARION, OH 43302-4446

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/12/2018
- **Last updated:** 07/20/2022
