| Marion Family Dental | |
|
716 S Prospect St Marion OH 43302-6278 | |
| (740) 382-3464 | |
| Not Available |
| Full Name | Marion Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 716 S Prospect St, Marion, Ohio |
| Authorized Official Name and Position | Laith A. Sawalha (OWNER) |
| Authorized Official Contact | 7403875188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marion Family Dental 716 S Prospect St Marion OH 43302-6278 Ph: (740) 382-3464 | Marion Family Dental 716 S Prospect St Marion OH 43302-6278 Ph: (740) 382-3464 |
| NPI Number | 1609041698 |
|---|---|
| Provider Enumeration Date | 04/29/2008 |
| Last Update Date | 04/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609041698 | NPI | - | NPPES |
| 2762078 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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