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Individual
DR. ANDREW MICHAEL MARRA
Active
Individual
DR. ANDREW MICHAEL MARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS045298
PA
1223E0200X
Endodontics
Primary
4416
WV
1223G0001X
General Practice Dentistry
18847
MD
1223G0001X
General Practice Dentistry
4416
WV
Other
Enumeration date
06/17/2019
Last updated
08/19/2025
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