Individual
MATTHEW THOMAS MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
3075 SMITH RD STE 102, FAIRLAWN, OH 44333-4453
(330) 670-0050
Mailing address
3075 SMITH RD STE 102, FAIRLAWN, OH 44333-4453
(330) 670-0050
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9365
KY
Other
Enumeration date
05/07/2013
Last updated
09/03/2020
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