# OLIVER L MARIANETTI, D.M.D.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OLIVER L. MARIANETTI, D.M.D.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1295961571
- **Legal business name:** OLIVER L. MARIANETTI, D.M.D.
- **Authorized official:** DR. OLIVER L MARIANETTI D.M.D. (DR./BUSINESS OWNER)
- **Authorized official phone:** (505) 293-6705

## Contact information

- **Practice address:** 3900 EUBANK BLVD NE, SUITE N-17, ALBUQUERQUE, NM 87111-3465
- **Practice address phone:** (505) 293-6705
- **Practice address fax:** (505) 293-6852
- **Mailing address:** 3900 EUBANK BLVD NE, SUITE N-17, ALBUQUERQUE, NM 87111-3465
- **Mailing address phone:** (505) 293-6705
- **Mailing address fax:** (505) 293-6852

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 1467 | NM | Yes |

## Other

- **Enumeration date:** 06/01/2009
- **Last updated:** 06/01/2009