Individual
LOUIS J MARCONYAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
351 EDWIN DR, SUITE 104, VIRGINIA BEACH, VA 23462-4559
(757) 499-3530
(757) 473-3576
Mailing address
351 EDWIN DR, SUITE 104, VIRGINIA BEACH, VA 23462-4559
(757) 499-3530
(757) 473-3576
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3981
VA
Other
Enumeration date
06/05/2006
Last updated
11/04/2014
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