Organization
WILLIAM S MARIETTA DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM S MARIETTA DDS (PRESIDENT)
(505) 247-8005
Entity
Organization
Contact information
Practice address
717 ENCINO PL NE, #6, ALBUQUERQUE, NM 87102
(505) 247-8005
(505) 843-8589
Mailing address
717 ENCINO PL NE, #6, ALBUQUERQUE, NM 87102
(505) 247-8005
(505) 843-8589
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1418
NM
Other
Enumeration date
08/17/2006
Last updated
08/22/2020
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