Individual
MR. WILLIAM JAY MARLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4252 HOHE ST, STE A, HOMER, AK 99603
(907) 235-8909
(907) 235-8517
Mailing address
143 E BAYVIEW AVE, HOMER, AK 99603
(907) 235-9649
(907) 235-9649
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1023
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DD1413
—
AK
01
—
DE00009027
WA STATE DEPT OF HEALTH
WA
Enumeration date
10/05/2006
Last updated
07/08/2007
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