C Fred Marcinak Dmd PA

NPI #1164583183 in West Union, South Carolina

Provider Information

NPI Number: 1164583183
Entity Type: Organization
Organization Name: C Fred Marcinak Dmd PA
Primary Specialty: Dentist
Enumeration Date: Dec 13, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 102 LUSK DRIVE
City: West Union
State: South Carolina
ZIP Code: 29696
Phone: (864) 638-7228

Authorized Official

Name: DR. C FRED MARCINAK, DMD
Title: DENTIST PRESIDENT
Phone: (864) 638-7228

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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