Individual
DR. MICHAEL VINCENT MARCHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1286 MARYLAND RT 3 S STE 7, SUITE B, CROFTON, MD 21114-1340
(410) 721-8200
Mailing address
1286 MARYLAND RT 3 S STE 7, CROFTON, MD 21114-1340
(410) 721-8200
(410) 721-7629
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
16041
MD
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DS035664
PA
Other
Enumeration date
08/13/2006
Last updated
09/22/2015
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