Individual
DR. CORIN TODD MARANTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 S 17TH ST, APT 4, RICHMOND, VA 23219-4233
(201) 970-7037
Mailing address
2 S 17TH ST, APT 4, RICHMOND, VA 23219-4233
(201) 970-7037
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0442000104
VA
Other
Enumeration date
11/15/2009
Last updated
11/15/2009
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