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Individual
MARCUS ANDREW THAYN
Active
Individual
MARCUS ANDREW THAYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-4853
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VADOOOO
MILITARY PHYSICIANS
—
Enumeration date
08/15/2017
Last updated
08/15/2017
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