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NPI Code Detail

MEDICARE: DRS MARINO NASSIF & ASSICIATES INC

MEDICARE: DRS MARINO NASSIF & ASSICIATES INC
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
11223G0001XGeneral Practice Dentistry

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548369275
Entity Type Code : Organization
Provider Name (Legal Business Name) : DRS MARINO NASSIF & ASSICIATES INC
Provider Business Mailing Address
First Line : 5 SEVERANCE CIR
Second Line : STE 412
City : CLEVELAND HTS
State : OH
Zip : 44118-1566
Country : US
Telephone Number : 216-541-6434
Fax Number : 216-541-6439
Provider Business Practice Location Address
First Line : 5 SEVERANCE CIR
Second Line : STE 412
City : CLEVELAND HTS
State : OH
Zip : 44118-1566
Country : US
Telephone Number : 216-541-6434
Fax Number : 216-541-6439
Authorized Official
Title or Position : VICE PRESIDENT
Name : DR. CARLO MARINO
Credential : DDS
Telephone Number : 330-920-8060
Provider Enumeration Date : 09/21/2006
Last Update Date : 11/09/2010

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Directions to “DRS MARINO NASSIF & ASSICIATES INC ” Practice Location

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