Marsack, Glen Joseph

Marsack, Glen Joseph is an sole proprietor health care provider with primary practice located at 998 Crescent Lake Rd , Waterford MI 48327-2594. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Marsack, Glen Joseph can be contacted via phone (248) 682-9331.

Contact Information

Primary practice address
998 Crescent Lake Rd Waterford MI 48327-2594
Fax: (248) 682-9926
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D12583 Michigan

Profile Details

NPI number 1386792828
LBN Legal business name Marsack, Glen Joseph
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2007
Last updated Jul 8th, 2007 - about 17 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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