Individual
DR. WILLIAM S MARIETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
717 ENCINO PL NE, SUITE: 6, ALBUQUERQUE, NM 87102-2611
(505) 247-8005
(505) 843-8589
Mailing address
717 ENCINO PL NE, SUITE: 6, ALBUQUERQUE, NM 87102-2611
(505) 247-8005
(505) 843-8589
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1415
NM
Other
Enumeration date
09/22/2008
Last updated
09/22/2008
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