Frederick J. Marra, D.m.d. Pllc

NPI #1679627897 in Cohoes, New York

Provider Information

NPI Number: 1679627897
Entity Type: Organization
Organization Name: Frederick J. Marra, D.m.d. Pllc
Primary Specialty: Dentist
Enumeration Date: Jan 23, 2007
Last Updated: Jun 8, 2009

Practice Location

Address: 100 MAIN ST
City: Cohoes
State: New York
ZIP Code: 12047-4404
Phone: (518) 237-0019

Authorized Official

Name: DIANE M WARD
Title: OFFICE MGR.
Phone: (518) 237-0019

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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