Individual
DR. MARY LYNN MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1003 W MCGALLIARD RD, MUNCIE, IN 47303-1768
(765) 288-1307
(765) 741-1649
Mailing address
1003 W MCGALLIARD RD, MUNCIE, IN 47303-1768
(765) 288-1307
(765) 741-1649
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12009677
IN
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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