Individual
LUCIANO DOMENIC MARINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
26 LAKESIDE BLVD E, WATERBURY, CT 06708-2913
(203) 575-9097
(203) 575-0824
Mailing address
26 LAKESIDE BLVD E, WATERBURY, CT 06708-2913
(203) 575-9097
(203) 575-0824
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6804
CT
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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