Individual
MARQUISH MCKINNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
228 SAINT GEORGE ST, GONZALES, TX 78629-3910
(830) 672-6511
(830) 672-6430
Mailing address
228 SAINT GEORGE ST, GONZALES, TX 78629-3910
(830) 672-6511
(830) 672-6430
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
3227
TX
Other
Enumeration date
04/26/2010
Last updated
04/26/2010
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