Marshall Dental Care, LLC

NPI #1962918425 in Marshall, Missouri

Provider Information

NPI Number: 1962918425
Entity Type: Organization
Organization Name: Marshall Dental Care, LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Dec 20, 2017
Last Updated: Dec 20, 2017

Practice Location

Address: 263 S JEFFERSON AVE
City: Marshall
State: Missouri
ZIP Code: 65340-2134
Phone: (660) 886-6843

Authorized Official

Name: DR. JERRY C KELLY, DDS
Title: MEMBER
Phone: (660) 886-6843

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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