Individual
DR. WILLIAM WALTER MARSHALL II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1609 MAFFRY AVE, MACON, MO 63552-1960
(660) 385-3413
(660) 385-7069
Mailing address
301 KARAT PLACE, MACON, MO 63552-4144
(660) 385-3413
(660) 385-7069
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2002023192
MO
1223G0001X
General Practice Dentistry
5284
OK
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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