Individual
KURT OTTO MARCKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
24099 POSTAL AVE, SUITE 101, MORENO VALLEY, CA 92553-7709
(951) 601-1290
(951) 601-1292
Mailing address
24099 POSTAL AVE, SUITE 101, MORENO VALLEY, CA 92553-7709
(951) 601-1290
(951) 601-1292
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
42360
CA
Other
Enumeration date
06/14/2007
Last updated
07/08/2007
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