Organization
MARCELINO J MARENCO DDS PA
Active
Other names
Dental City
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCELINO J MARENCO DDS (PRESIDENT)
(305) 228-0800
Entity
Organization
Contact information
Practice address
13155 SW 42ND ST STE 105, MIAMI, FL 33175-3428
(305) 208-0800
Mailing address
13155 SW 42ND ST STE 105, MIAMI, FL 33175-3428
(305) 208-0800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083772198
SINGLE NPI
FL
Enumeration date
06/21/2019
Last updated
06/21/2019
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