Individual
DR. JOHN MAROULIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
32 MIDDLETOWN RD, FAIRMONT, WV 26554-8102
(304) 368-1800
Mailing address
4917 STONE MILL LN, MORGANTOWN, WV 26508-4405
(304) 368-1800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3119
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0133679000
—
WV
Enumeration date
07/27/2006
Last updated
07/08/2007
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