Individual
DR. TINA M MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1135 S LAPEER RD, LAKE ORION, MI 48360-1432
(248) 693-2194
Mailing address
2951S BALDWIN RD, LAKE ORION, MI 48360-1665
(248) 391-1200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18092
MI
Other
Enumeration date
05/10/2007
Last updated
12/29/2015
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