Jennifer Marino, DDS Valid NPI

Individual provider · Dentist · Lakeland, FL

NPI

1164621918

Type

Individual (Type 1)

Primary specialty

Dentist

Specialty group

Dental Providers

Taxonomy code

122300000X

License number

DN17859 (FL)

Sex

Female

Sole proprietor

No

Enumerated

2007-07-12

Last updated

2010-04-22