John Marshall, DMD Valid NPI
Individual provider · Dentist · O Fallon, MO
- NPI
- 1205356425
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 2018011363 (MO)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2017-06-20
- Last updated
- 2018-09-22
Practice location
2315 Technology Dr Ste 101
O Fallon, MO 63368-7371
(636) 561-9255