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Individual
MR. VINCENT JOHN MARINO
Active
Individual
MR. VINCENT JOHN MARINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12304
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
797154
UNITED CONCORDIA
—
01
—
B12304-1
DELTA CHIP
—
Enumeration date
10/05/2006
Last updated
07/08/2007
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