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Organization

OLIVER L MARIANETTI, D.M.D.

Active
Parent organization
OLIVER L. MARIANETTI, D.M.D.
Organization subpart
Yes

Provider details

NPI number
Legal business name
OLIVER L. MARIANETTI, D.M.D.
Authorized official
DR. OLIVER L MARIANETTI D.M.D. (DR./BUSINESS OWNER)
(505) 293-6705
Entity
Organization

Contact information

Practice address
3900 EUBANK BLVD NE, SUITE N-17, ALBUQUERQUE, NM 87111-3465
(505) 293-6705
(505) 293-6852
Mailing address
3900 EUBANK BLVD NE, SUITE N-17, ALBUQUERQUE, NM 87111-3465
(505) 293-6705
(505) 293-6852

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1467
NM

Other

Enumeration date
06/01/2009
Last updated
06/01/2009
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