Provider Demographics
NPI:1851513311
Name:MARSZALEK, LAURA CRISTEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:CRISTEN
Last Name:MARSZALEK
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:374 W 200 N
Mailing Address - Street 2:
Mailing Address - City:RUSHVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46173-7543
Mailing Address - Country:US
Mailing Address - Phone:765-938-1430
Mailing Address - Fax:
Practice Address - Street 1:2628 WESTERN AVE
Practice Address - Street 2:
Practice Address - City:CONNERSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47331-1803
Practice Address - Country:US
Practice Address - Phone:765-825-2941
Practice Address - Fax:765-827-5796
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12010564122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist