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NPI Code Detail

MEDICARE: DR. VALERIE ANN MARINO D.D.S.

MEDICARE: DR. VALERIE ANN MARINO D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223P0300XPeriodontics0010567FL

General Provider Information

NPI Number : 1063549871
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VALERIE ANN MARINO D.D.S.
Provider Business Mailing Address
First Line : 1216 US HIGHWAY 1
Second Line : SUITE B
City : NORTH PALM BEACH
State : FL
Zip : 33408-3537
Country : US
Telephone Number : 561-624-5307
Fax Number : 561-624-1381
Provider Business Practice Location Address
First Line : 1216 US HIGHWAY 1
Second Line : SUITE B
City : NORTH PALM BEACH
State : FL
Zip : 33408-3537
Country : US
Telephone Number : 561-624-5307
Fax Number : 561-624-1381
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2007
Last Update Date : 07/08/2007

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