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1649331695
MARIO BENJAMIN MARITATO
KENOSHA, WI
NPI
1649331695
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WI 3710)
Enumeration Date
2006-12-13
Last Update Date
2007-07-08
Business Address
Dr. MARIO BENJAMIN MARITATO D.D.S.
5008 GREEN BAY RD SUITE 104
KENOSHA, WI 53144-1790
Phone number: 262-657-0504
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Mailing Address
Dr. MARIO BENJAMIN MARITATO D.D.S.
5008 GREEN BAY RD SUITE 104
KENOSHA, WI 53144-1790
Phone number: 262-657-0504
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