Individual
DR. ANTHONY MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
290 ALAMO DR STE B, VACAVILLE, CA 95688-4245
(707) 448-6271
(707) 448-4742
Mailing address
290 ALAMO DR STE B, VACAVILLE, CA 95688-4245
(707) 448-6271
(707) 448-4742
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
000979
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
34521
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B34521-01
—
CA
Enumeration date
01/03/2007
Last updated
10/28/2019
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