Individual
DR. ANDREW L. MARCHESE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5635 STATE RD, BURBANK, IL 60459-2051
(708) 424-9200
Mailing address
5635 STATE RD, BURBANK, IL 60459-2051
(630) 832-5623
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19-17914
IL
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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