Organization
ANTHONY J. MARINO, D.D.S. , P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY JOSEPH MARINO D.D.S. (DENTIST)
(314) 645-7247
Entity
Organization
Contact information
Practice address
7004 LANSDOWNE AVE, SAINT LOUIS, MO 63109-1950
(314) 645-7247
(314) 645-5649
Mailing address
7004 LANSDOWNE AVE, SAINT LOUIS, MO 63109-1950
(314) 645-7247
(314) 645-5649
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13493
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477597888
INDIVIDUAL NPI NUMBER
MO
Enumeration date
01/02/2007
Last updated
08/22/2020
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