Organization · Type 2 NPI

Anthony Marino D.d.s., M.s. Professional Cororation

Orthodontics and Dentofacial Orthopedics Dentistry · Fairfield, CA

NPI number 1790035145 Active

Practice location

1010 Empire Street
Fairfield, CA 94533-5707

Call (707) 448-6271 Map

Fax (707) 448-4742

Mailing address

290 Alamo Drive, Suite B
Vacaville, CA 95688-4245

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X34521 (CA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1790035145

Anthony Marino D.d.s., M.s. Professional Cororation's National Provider Identifier is 1790035145, issued on Sep 13, 2012. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Fairfield, CA. The record was last updated on Sep 13, 2012.