| NPI | 1467858639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY MARINO Doctor 707-448-6271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2014-11-14 |
| Last Update Date | 2014-12-03 |