Individual
DR. JOHN M MARSHALL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7550 ROTE RD, ROCKFORD, IL 61107-2832
(815) 399-7600
(815) 399-7660
Mailing address
7550 ROTE RD, ROCKFORD, IL 61107-2832
(815) 399-7600
(815) 399-7660
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19A13975
IL
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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