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Individual

MARCUS SUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
481 GARRISONVILLE RD STE 105, STAFFORD, VA 22554-1601
(540) 659-4900
Mailing address
210 MEADOW VIEW BLVD, SUFFOLK, VA 23435-3495
(757) 673-6263

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401414439
VA

Other

Enumeration date
05/01/2013
Last updated
05/11/2021
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