Jack M. Marincel, D.d.s., P.c. | |
6060 Telegraph Rd Suite H Saint Louis MO 63129-4762 | |
(314) 846-1480 | |
Not Available |
Full Name | Jack M. Marincel, D.d.s., P.c. |
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Speciality | Clinic/center - Dental |
Location | 6060 Telegraph Rd, Saint Louis, Missouri |
Authorized Official Name and Position | John Michael Marincel (PRESIDENT) |
Authorized Official Contact | 3148461480 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jack M. Marincel, D.d.s., P.c. 6060 Telegraph Rd Suite H Saint Louis MO 63129-4762 Ph: (314) 846-1480 | Jack M. Marincel, D.d.s., P.c. 6060 Telegraph Rd Suite H Saint Louis MO 63129-4762 Ph: (314) 846-1480 |
NPI Number | 1780797308 |
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Provider Enumeration Date | 08/16/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1780797308 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 13331 (Missouri) | Primary |
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