Organization
MARKO FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH E MARKO JR. DMD (OWNER)
(724) 463-9115
Entity
Organization
Contact information
Practice address
115 N 6TH ST, INDIANA, PA 15701-1815
(724) 463-9115
Mailing address
450 N 9TH ST, INDIANA, PA 15701-1273
(724) 463-9115
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS026278L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011692650006
—
PA
Enumeration date
11/19/2012
Last updated
11/19/2012
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