Organization
STEVEN J MARCELLO DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN MARCELLO (DDS)
(985) 446-3754
Entity
Organization
Contact information
Practice address
156 W MAIN ST, THIBODAUX, LA 70301-5216
(985) 446-3754
(985) 449-1582
Mailing address
156 W MAIN ST, THIBODAUX, LA 70301-5216
(985) 446-3754
(985) 449-1582
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
3570
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1835706
—
LA
05
—
1858463
—
LA
Enumeration date
07/22/2009
Last updated
07/22/2009
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