Individual
ANDREI MARECHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, DDS
Contact information
Practice address
3535 PERKINS RD STE 345, BATON ROUGE, LA 70808-2293
(225) 747-0181
Mailing address
100 S ALAMEDA ST UNIT 140, LOS ANGELES, CA 90012-3930
(858) 361-9456
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30-024392
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
6973
LA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
104868
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
30-024392
OH
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
6973
LA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
A169364
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2014
Last updated
04/17/2021
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