Individual
HAROLD J MARIONEAUX JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
504 MILL STONE RD, CHESAPEAKE, VA 23322-4367
(757) 573-6578
Mailing address
4601 OPPORTUNITY WAY, WILLIAMSBURG, VA 23188-2003
(757) 258-6597
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401006104
VA
Other
Enumeration date
04/08/2020
Last updated
04/08/2020
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