Individual
DR. EDWARD L MARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
219 WASHINGTON AVE, BATAVIA, NY 14020
(585) 343-9124
(585) 343-9124
Mailing address
219 WASHINGTON AVE, BATAVIA, NY 14020
(585) 343-9124
(585) 343-9124
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
042727
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02194498
—
NY
Enumeration date
11/24/2006
Last updated
07/08/2007
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