| NPI | 1679249452 |
|---|---|
| Doing Business As | MARBACH DENTAL AND BRACES |
| Entity Type | Organization |
| Authorized Contact | DAVE GOLDWYN JEQUINTO Revenue Cycle Manger 210-674-4799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2021-11-16 |