Individual
DR. KENNETH ROBERT MARRIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
KEN MARRIOTT D.D.S.
Contact information
Practice address
40255 GRAND RIVER AVENUE, SUITE 200, NOVI, MI 48375-4837
(248) 442-0400
Mailing address
430 W ERIE ST, SUITE 200, CHICAGO, IL 60654-6914
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901020226
MI
Other
Enumeration date
06/22/2010
Last updated
10/17/2023
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