Individual
RICHARD A MARSHALL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
18301 N 79TH AVE STE G186, GLENDALE, AZ 85308-6093
(480) 208-3079
Mailing address
8957 W RANCHO DR, GLENDALE, AZ 85305-2021
(480) 208-3079
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D011833
AZ
1223G0001X
General Practice Dentistry
D011833
AZ
Other
Enumeration date
06/16/2023
Last updated
10/14/2024
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