Marc Darren Engle D.D.S.

NPI 1417008046 - Dentist - 1223P0300X

NPI Details
NPI 1417008046
Gender Male
Enumeration Date 01/12/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
5109 W GENESEE ST
SUITE 202
CAMILLUS NY, 13031-2352, US
Phone (315) 476-5156
Fax (315) 475-3805
Business Location
5109 W GENESEE ST
SUITE 202
CAMILLUS NY, 13031-2352, US
Phone (315) 476-5156
Fax (315) 475-3805
Toxanomy
Taxonomy Code 1223P0300X
License State New York
License Number 043957
Remove 1417008046 NPI Number
 

According to our database, Dr. Marc Darren Engle D.D.S. NPI is 1417008046, taxonomy code is 1223P0300X and license number is 043957, license state is located at New York. Marc Darren Engle D.D.S. physically located at 5109 W Genesee St, Camillus NY, 13031-2352. NPI Number Marc Darren Engle D.D.S. has the Individual type.

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1417008046 NPI number is provided on an as is basis without warranty of any kind. 1417008046 is maintained by the National Plan & Provider Enumeration System. The contents of Marc Darren Engle D.D.S. are for informational purposes only.