Individual provider · Type 1 NPI

Logan Mariano, DMD

Pediatric Dentistry · Phoenix, AZ

NPI number 1861989121 Active

Practice location

4383 E Rosemonte Dr
Phoenix, AZ 85050-3407

Call (570) 772-3267 Map

Other practice locations

  • 11092 Anderson St, Loma Linda, CA 92350-1706 · (570) 772-3267

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XD010364 (AZ)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1861989121

Logan Mariano, DMD's National Provider Identifier is 1861989121, issued on Apr 21, 2018. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 19, 2019.