NPI | 1740405612 |
---|---|
Former Legal Business Name | JOHN MAROON DDS A PROFESSIONAL CORPORATION |
Other Name | JOHN P MAROON |
Entity Type | Organization |
Authorized Contact | JOHN P MAROON Dentist Dds 619-476-1600 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2007-04-16 |
Last Update Date | 2021-12-20 |