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Individual

MARSHALL J BELMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
3506 VILLAGE CT, GARY, IN 46408-1428
(219) 985-3133
Mailing address
201 W 8TH ST, SUITE 810, PUEBLO, CO 81003-3038
(719) 562-4447

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010519A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200418240
IN
Enumeration date
03/20/2007
Last updated
12/27/2010
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