Whalio Doctors

NPI 1083931380

Marquish McKinnon

Practitioner Dental Assistant Gonzales, TX

Practice location

Address
228 Saint George St, Gonzales, TX 78629-3910
Phone
(830) 672-6511
Fax
(830) 672-6430

Registered specialties

Dental Assistant Primary
Dental Providers Taxonomy 126800000X Licence 3227 (TX)

Registry record

NPI
1083931380
Entity type
Individual
Sex (as registered)
Male
NPI issued
26 Apr 2010
Record last updated
26 Apr 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.