Individual
MRS. CARRIE A MARINARO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1809 E MILWAUKEE ST, JANESVILLE, WI 53545
(608) 752-9161
(608) 752-4169
Mailing address
1809 E MILWAUKEE ST, JANESVILLE, WI 53545
(608) 752-9161
(608) 752-4169
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5235
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33761300
—
WI
Enumeration date
06/16/2006
Last updated
07/08/2007
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