Individual
JAY D MARRIAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1700 COUNTY ROAD, SUITE E, MINDEN, NV 89423
(775) 782-4525
Mailing address
1700 COUNTY ROAD, SUITE E, MINDEN, NV 89423
(775) 782-4525
(775) 782-2134
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2104
NV
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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