Provider Demographics
NPI:1932303385
Name:MARWICK, MONICA KARGL (DDS)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:KARGL
Last Name:MARWICK
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 1:100 PORTER RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-3240
Mailing Address - Country:US
Mailing Address - Phone:610-327-1175
Mailing Address - Fax:610-327-9970
Practice Address - Street 1:100 PORTER RD
Practice Address - Street 2:SUITE 105
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464-3240
Practice Address - Country:US
Practice Address - Phone:610-327-1175
Practice Address - Fax:610-327-9970
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS-024290-L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice