Michelle Marconnette

NPI #1841699394 in Phelan, California

Provider Information

NPI Number
1841699394
Entity Type
Individual
Name
Michelle Marconnette
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Enumeration Date
Aug 21, 2014
Last Updated
Aug 21, 2014

Practice Location

Address
3936 PHELAN RD
Address 2
SUITE A4
City
Phelan
ZIP Code
92371-4141
Phone
(760) 868-4600

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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