| Oliver L Marianetti, D.m.d. | |
|
3900 Eubank Blvd Ne Suite N-17 Albuquerque NM 87111-3465 | |
| (505) 293-6705 | |
| (505) 293-6852 |
| Full Name | Oliver L Marianetti, D.m.d. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3900 Eubank Blvd Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Oliver L Marianetti (DR./BUSINESS OWNER) |
| Authorized Official Contact | 5052936705 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oliver L Marianetti, D.m.d. 3900 Eubank Blvd Ne Suite N-17 Albuquerque NM 87111-3465 Ph: (505) 293-6705 | Oliver L Marianetti, D.m.d. 3900 Eubank Blvd Ne Suite N-17 Albuquerque NM 87111-3465 Ph: (505) 293-6705 |
| NPI Number | 1295961571 |
|---|---|
| Provider Enumeration Date | 06/01/2009 |
| Last Update Date | 06/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295961571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1467 (New Mexico) | Primary |
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