Individual
DR. JOHN CLYDE MARIETTA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
208 W CLOUD ST, SALINA, KS 67401-6448
(785) 825-7557
(785) 825-7666
Mailing address
208 W CLOUD ST, SALINA, KS 67401-6448
(785) 825-7557
(785) 825-7666
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5766
KS
Other
Enumeration date
06/13/2006
Last updated
07/08/2007
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