Marshall, Duane Glenn
Marshall, Duane Glenn is an individual health care provider with primary practice located at 4405 Jager Dr Ne Ste C1 , Rio Rancho NM 87144-5715. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Marshall, Duane Glenn can be contacted via phone (505) 692-8167.Contact Information
Primary practice address
4405 Jager Dr Ne Ste C1
Rio Rancho NM 87144-5715
Phone: (505) 692-8167
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DD3353 | New Mexico |
| Dental Providers / Dentist | 122300000X | DD3353 | New Mexico |
Profile Details
| NPI number | 1225342918 |
|---|---|
| LBN Legal business name | Marshall, Duane Glenn |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2010 |
| Last updated | Nov 3rd, 2023 - about last year |
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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