Mariscal, Erin

Mariscal, Erin is an sole proprietor health care provider with primary practice located at 124 Richardson Xing , Arnold MO 63010-6023. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Mariscal, Erin can be contacted via phone (636) 464-6444.

Contact Information

Primary practice address
124 Richardson Xing Arnold MO 63010-6023
Phone: (636) 464-6444
Fax: (636) 464-6465
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2003013103 Missouri
Dental Providers / General Practice 1223G0001X 2003013103 Missouri

Profile Details

NPI number 1740279967
LBN Legal business name Mariscal, Erin
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2005
Last updated Jul 13th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740279967 NPPES
Missouri MEDICAID 405384108

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