Individual
DR. KATHERINE T MARCINISZYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
15 MASTRO LN # 1, ENFIELD, NH 03748-3544
(603) 632-9311
Mailing address
15 MASTRO LN # 1, ENFIELD, NH 03748-3544
(603) 632-9311
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
016-0002129
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009224
—
VT
Enumeration date
04/23/2007
Last updated
07/08/2007
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