Individual
MICHELLE MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
382 GROVE ST, BRAINTREE, MA 02184-7324
(781) 843-1072
Mailing address
32 OAKDALE RD, CANTON, MA 02021-1539
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1858310
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/09/2019
Last updated
08/10/2023
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