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Individual

DR. MARCUS BRIAN WARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D

Contact information

Practice address
301 S WILLIS DR STE 100, SHALLOTTE, NC 28470-3445
(910) 754-7700
Mailing address
301 S WILLIS DR STE 100, SHALLOTTE, NC 28470-3445
(910) 754-7700

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10394
NC

Other

Enumeration date
05/28/2016
Last updated
05/28/2016
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