Individual
DR. MARCIA L PRESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
604 EAST ELM, REPUBLIC, MO 65738
(417) 732-7874
(417) 732-5084
Mailing address
604 EAST ELM, REPUBLIC, MO 65738
(417) 732-7874
(417) 732-5084
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2002011186
MO
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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