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Rachele Angela Mariano, DDS
Student in an Organized Health Care Education/Training Program in San Diego, California
NPI 1598124034

Rachele Angela Mariano is a Student in an Organized Health Care Education/Training Program based in Baldwin Park, CA. Rachele Angela Mariano practices in San Diego, CA and has the professional credentials of DDS. The NPI Number for Rachele Angela Mariano is 1598124034 and holds a License No. 102316 (California).

The current practice location address for Rachele Angela Mariano is 1275 30Th St, San Diego, CA and can be reached out via phone at 619-662-4100.

Location: 1275 30Th St, San Diego, CA, 91706-5974
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598124034
Provider Name
Rachele Angela Mariano
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
1275 30Th St, San Diego, CA, 91706-5974
Phone Number
619-662-4100
Fax Number
Provider Enumeration Date
02/11/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1275 30Th St
City
San Diego
State
California
Zip
92154-3476
Phone Number
619-662-4100
Fax Number
person
Provider Business Mailing Address Details
Address
1275 30Th St
City
San Diego
State
California
Zip
92154-3476
Phone Number
619-662-4100
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
()
Definition
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
102316 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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