Individual
MARISSA OBIEDZINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
111 E 57TH ST STE 204, NEW YORK, NY 10022-2009
(917) 512-8302
(732) 631-8525
Mailing address
111 E 57TH ST STE 204, NEW YORK, NY 10022-2009
(917) 512-8302
(732) 631-8525
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
061586-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2017
Last updated
07/07/2021
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