Individual
DR. LORA L MARINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
3003 41ST ST, MOLINE, IL 61265-7879
(309) 762-8838
Mailing address
3003 41ST ST, MOLINE, IL 61265-7879
(309) 762-8838
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019.028735
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021.002746
IL
Other
Enumeration date
08/31/2011
Last updated
09/30/2021
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