Marino, Anthony

Marino, Anthony is an individual health care provider with primary practice located at 290 Alamo Dr Ste B , Vacaville CA 95688-4245. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Marino, Anthony can be contacted via phone (707) 448-6271.

Contact Information

Primary practice address
290 Alamo Dr Ste B Vacaville CA 95688-4245
Phone: (707) 448-6271
Fax: (707) 448-4742
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 000979 California
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 34521 California

Profile Details

NPI number 1750448197
LBN Legal business name Marino, Anthony
Credentials D.D.S., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Oct 28th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750448197 NPPES
California MEDICAID B34521-01

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