Individual
DR. JOHN M MARINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
118 JERUSALEM AVE, HICKSVILLE, NY 11801-4906
(516) 938-0929
Mailing address
118 JERUSALEM AVE, HICKSVILLE, NY 11801-4906
(516) 938-0929
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
039165
NY
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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