Provider Demographics
NPI:1063549871
Name:MARINO, VALERIE ANN (DDS)
Entity type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:ANN
Last Name:MARINO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1216 US HIGHWAY 1
Mailing Address - Street 2:SUITE B
Mailing Address - City:NORTH PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-3537
Mailing Address - Country:US
Mailing Address - Phone:561-624-5307
Mailing Address - Fax:561-624-1381
Practice Address - Street 1:1216 US HIGHWAY 1
Practice Address - Street 2:SUITE B
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-3537
Practice Address - Country:US
Practice Address - Phone:561-624-5307
Practice Address - Fax:561-624-1381
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL00105671223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics