| Corbin Marchack DDS PC | |
|
3306 Emerald Ln Jefferson City MO 65109-6877 | |
| (573) 638-3897 | |
| (573) 761-0515 |
| Full Name | Corbin Marchack DDS PC |
|---|---|
| Speciality | Dentist |
| Location | 3306 Emerald Ln, Jefferson City, Missouri |
| Authorized Official Name and Position | Corbin Matthew Marchack (OWNER) |
| Authorized Official Contact | 5736383897 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corbin Marchack DDS PC 3306 Emerald Ln Jefferson City MO 65109-6877 Ph: (573) 638-3897 | Corbin Marchack DDS PC 3306 Emerald Ln Jefferson City MO 65109-6877 Ph: (573) 638-3897 |
| NPI Number | 1730358581 |
|---|---|
| Provider Enumeration Date | 02/26/2008 |
| Last Update Date | 02/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730358581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
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