Individual
DR. ANGELO J MARIOTTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, PHD
Contact information
Practice address
305 W 12TH AVE, COLUMBUS, OH 43210-1267
(614) 292-1472
(614) 292-4612
Mailing address
305 W 12TH AVE, COLUMBUS, OH 43210-1267
(614) 292-1472
(614) 292-4612
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
30020544
OH
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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