Individual
DR. PAUL ANTHONY MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
ONE KNEELAND ST, ORAL AND MAXILLOFACIAL SURGERY DEPT, BOSTON, MA 02111
(617) 636-6515
Mailing address
60 INDIAN COVE WAY, SOUTH EASTON, MA 02375
(508) 238-5033
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9402 MA
MA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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