Organization
MARINO FAMILY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANELISSE MARINO DMD (OWNER)
(813) 833-9597
Entity
Organization
Contact information
Practice address
4506 N UNIVERSITY DR, LAUDERHILL, FL 33351-5740
(954) 386-7500
(954) 386-7777
Mailing address
2401 NW 107TH AVE, SUNRISE, FL 33322-2528
(954) 386-7500
(954) 386-7777
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN20192
FL
Other
Enumeration date
11/06/2017
Last updated
11/06/2017
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