Provider Demographics
NPI:1043346489
Name:MARLIN, GERALD M (DMD MSED)
Entity Type:Individual
Prefix:DR
First Name:GERALD
Middle Name:M
Last Name:MARLIN
Suffix:
Gender:M
Credentials:DMD MSED
Other - Prefix:
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Mailing Address - Street 1:4400 JENIFER STREET NW
Mailing Address - Street 2:SUITE 220
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20015
Mailing Address - Country:US
Mailing Address - Phone:202-244-2101
Mailing Address - Fax:202-244-3277
Practice Address - Street 1:4400 JENIFER STREET NW
Practice Address - Street 2:SUITE 220
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20015
Practice Address - Country:US
Practice Address - Phone:202-244-2101
Practice Address - Fax:202-244-3277
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DC29141223P0700X
MD55491223P0700X
FLDN60581223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics