| Cora A Marsaw Dds Pa | |
|
3605 Interstate 30 Suite B Mesquite TX 75150-2670 | |
| (972) 270-9647 | |
| (972) 270-9648 |
| Full Name | Cora A Marsaw Dds Pa |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 3605 Interstate 30, Mesquite, Texas |
| Authorized Official Name and Position | Cora A Marsaw (PERIODONTIST) |
| Authorized Official Contact | 9722709647 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cora A Marsaw Dds Pa 3605 I-30 West Suite -b Mesquite TX 75150 Ph: (972) 270-9647 | Cora A Marsaw Dds Pa 3605 Interstate 30 Suite B Mesquite TX 75150-2670 Ph: (972) 270-9647 |
| NPI Number | 1073806998 |
|---|---|
| Provider Enumeration Date | 05/25/2011 |
| Last Update Date | 05/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073806998 | NPI | - | NPPES |
| 646307 | Other | TX | DELTA CARE FACILITY ID |
| 008994801 | Medicaid | TX | |
| 405623 | Other | TX | UNITED CONCORDIA PROVIDER |
| 250578 | Other | TX | CIGNA FACILITY ID |
| 4001093 | Other | TX | GUARDIAN PROVIDER NUMBER DVILLE |
| 0009003 | Other | TX | FORTTIS FACILITY ID |
| 4001092 | Other | TX | GUARDIAN PROVIDER NUMBER MESQUITE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 015805 (Texas) | Primary |
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