Provider Demographics
NPI:1255518254
Name:MARKO KAMEL DDS PA
Entity type:Organization
Organization Name:MARKO KAMEL DDS PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARKO
Authorized Official - Middle Name:MICHEL AMIN
Authorized Official - Last Name:KAMEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:651-808-7731
Mailing Address - Street 1:PO BOX 36
Mailing Address - Street 2:
Mailing Address - City:ALBERT LEA
Mailing Address - State:MN
Mailing Address - Zip Code:56007-0036
Mailing Address - Country:US
Mailing Address - Phone:507-377-0309
Mailing Address - Fax:
Practice Address - Street 1:141 E WILLIAM ST
Practice Address - Street 2:
Practice Address - City:ALBERT LEA
Practice Address - State:MN
Practice Address - Zip Code:56007-2530
Practice Address - Country:US
Practice Address - Phone:507-377-0309
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-22
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND122061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty