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Individual

MARC A ZECHEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.,D.D.S.

Contact information

Practice address
29001 CEDAR RD, SUITE 680, CLEVELAND, OH 44124-4062
(440) 461-1157
Mailing address
7809 HOUGH AVE, CLEVELAND, OH 44103-4177
(216) 795-1220

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
30.021709
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2405712
OH
Enumeration date
08/31/2006
Last updated
07/08/2007
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