| Marko Family Dentistry | |
|
115 N 6th St Indiana PA 15701-1815 | |
| (724) 463-9115 | |
| Not Available |
| Full Name | Marko Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 115 N 6th St, Indiana, Pennsylvania |
| Authorized Official Name and Position | Joseph E Marko (OWNER) |
| Authorized Official Contact | 7244639115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marko Family Dentistry 450 N 9th St Indiana PA 15701-1273 Ph: (724) 463-9115 | Marko Family Dentistry 115 N 6th St Indiana PA 15701-1815 Ph: (724) 463-9115 |
| NPI Number | 1902140650 |
|---|---|
| Provider Enumeration Date | 11/19/2012 |
| Last Update Date | 11/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902140650 | NPI | - | NPPES |
| 0011692650006 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS026278L (Pennsylvania) | Primary |
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