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Organization
RONALD M MARINI DMD PA
Active
Organization
RONALD M MARINI DMD PA
Active
Other names
Sanford Plaza Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD MICHAEL MARINI D.M.D. (PRESIDENT)
(407) 322-9992
Entity
Organization
Contact information
Practice address
2921 S ORLANDO DR, SUITE 146, SANFORD, FL 32773-4103
(407) 322-9992
(407) 322-4415
Mailing address
1495 STELLAR DR, OVIEDO, FL 32765-9685
(407) 365-3817
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN8441
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
074986900
—
FL
05
—
076031500
—
FL
01
—
991268
COMDENT HEALTHY KIDS
FL
Enumeration date
02/05/2007
Last updated
12/13/2011
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