Organization
MARQUIS CENTER OF DALLAS PLLC
Active
Organization
MARQUIS CENTER OF DALLAS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLARK PETERSEN (DIRECTOR OF INFRASTRUCTURE)
(618) 402-6622
Entity
Organization
Contact information
Practice address
8215 WESTCHESTER DR STE 112, DALLAS, TX 75225-6109
(618) 402-6622
Mailing address
4447 N CENTRAL EXPY STE 110, DALLAS, TX 75205-4246
(618) 402-6622
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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