Organization
JACK M. MARINCEL, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MICHAEL MARINCEL D.D.S. (PRESIDENT)
(314) 846-1480
Entity
Organization
Contact information
Practice address
6060 TELEGRAPH RD, SUITE H, SAINT LOUIS, MO 63129-4762
(314) 846-1480
Mailing address
6060 TELEGRAPH RD, SUITE H, SAINT LOUIS, MO 63129-4762
(314) 846-1480
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
13331
MO
Other
Enumeration date
08/16/2006
Last updated
08/22/2020
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