NPI | 1013586676 |
---|---|
Doing Business As | MARQUIS CENTERS |
Entity Type | Organization |
Authorized Contact | CLARK ALLEN PETERSEN Operations Director 618-402-6622 |
Organization Subpart ? | No |
Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
Enumeration Date | 2021-06-18 |
Last Update Date | 2021-06-18 |