Individual
NICHOLAS L MARINO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
660 NORTH CREEK DR, FESTUS, MO 63028
(636) 937-9445
(636) 931-7680
Mailing address
660 NORTH CREEK DR, PO BOX 489, FESTUS, MO 63028
(636) 937-9445
(636) 931-7680
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
01585
MO
Other
Enumeration date
04/22/2006
Last updated
07/08/2007
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