Organization
MARCUS DENTAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA WICKE (REGIONAL VP)
(732) 610-8265
Entity
Organization
Contact information
Practice address
23 SOUTHDOWN RD, HUNTINGTON, NY 11743-2538
(732) 610-8265
Mailing address
115 W CENTURY RD STE 300, PARAMUS, NJ 07652-1459
(732) 610-8265
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
0355621
NY
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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