MARQUIS DENTAL CENTER PA NPI 1508293531

NPI Information

MARQUIS DENTAL CENTER PA is a customized equipment durable medical equipment medical supplies in Tupelo, MS. MARQUIS DENTAL CENTER PA NPI is 1508293531. The provider is registered as an organization entity type.
The provider Is Doing Business As Renew Dental.

The provider's business location address is:

1013 W JACKSON ST
TUPELO, MS
ZIP 38804-907
Phone: (662) 823-7900
Fax: (662) 823-7920

The provider's authorized official is George Joseph Marquis .
The authorized official title is Owner and has the following contact phone number (662) 823-7900.

The enumeration date for this NPI number is 10/4/2013 and was last updated on 10/5/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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