Individual
DR. BRUCE IAN MARSHALL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.P.H.,
Contact information
Practice address
41 MOUNTAINVIEW DR, CHESTER, NY 10918-3106
(845) 786-4204
(845) 786-4022
Mailing address
PO BOX 444, SUGAR LOAF, NY 10981-0444
(845) 469-9937
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
041980
NY
Other
Enumeration date
06/23/2005
Last updated
07/08/2007
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