Provider Demographics
NPI:1316080872
Name:SOBEK, MARCIA HARRER (DDS)
Entity type:Individual
Prefix:DR
First Name:MARCIA
Middle Name:HARRER
Last Name:SOBEK
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 1:10661 N. FRANK LLOYD WRIGHT
Mailing Address - Street 2:SUITE 103
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85259
Mailing Address - Country:US
Mailing Address - Phone:480-661-0481
Mailing Address - Fax:480-661-1157
Practice Address - Street 1:10661 N. FRANK LLOYD WRIGHT
Practice Address - Street 2:SUITE 103
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85259
Practice Address - Country:US
Practice Address - Phone:480-661-0481
Practice Address - Fax:480-661-1157
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2012-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ42031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice