Individual
DR. JOSEPH B. MARINO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7037 CANAL BLVD, SUITE 210, NEW ORLEANS, LA 70124-3453
(504) 282-5557
(504) 286-0038
Mailing address
7037 CANAL BLVD, SUITE 210, NEW ORLEANS, LA 70124-3453
(504) 282-5557
(504) 286-0038
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3433
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07210102681
BC BS OF RI
LA
01
—
116446
CIGNA HMO
LA
01
—
578120
UCCI
LA
01
—
67024104
BC BS OF AL
LA
Enumeration date
04/26/2007
Last updated
07/08/2007
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