Individual
DR. LOUIS JOSEPH MARCONYAK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2417 MCGUIRE BLVD BLDG 2417, JB MDL, NJ 08641-5116
(609) 754-3787
Mailing address
2417 MCGUIRE BLVD BLDG 2417, JB MDL, NJ 08641-5116
(609) 754-3787
(609) 754-9042
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401411087
VA
1223E0200X
Endodontics
Primary
0401444087
VA
Other
Enumeration date
12/14/2005
Last updated
04/12/2018
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