Organization
MARVIN G CLOTHIER DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVIN G CLOTHIER DDS (PRES)
(620) 231-4140
Entity
Organization
Contact information
Practice address
611 N BROADWAY, SUITE B, PITTSBURG, KS 66762
(620) 231-4140
(620) 231-4202
Mailing address
611 N BROADWAY, SUITE B, PITTSBURG, KS 66762
(620) 231-4140
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4664
KS
Other
Enumeration date
02/28/2006
Last updated
08/22/2020
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