Organization
W G MARINACCIO DDS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WARREN G MARINACCIO DDS (PRESIDENT)
(920) 682-2273
Entity
Organization
Contact information
Practice address
201 EAST WALDO BLVD, SUITE 102, MANITOWOC, WI 54220-2908
(920) 682-2273
(920) 682-0117
Mailing address
201 EAST WALDO BLVD, SUITE 102, MANITOWOC, WI 54220-2908
(920) 682-2273
(920) 682-0117
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5000669
WI
Other
Enumeration date
08/28/2006
Last updated
08/22/2020
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