Provider Demographics
NPI:1881827228
Name:NAROWETZ, MARINA (DDS)
Entity Type:Individual
Prefix:
First Name:MARINA
Middle Name:
Last Name:NAROWETZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 SACO AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:OLD ORCHARD BEACH
Mailing Address - State:ME
Mailing Address - Zip Code:04064-1600
Mailing Address - Country:US
Mailing Address - Phone:207-934-4132
Mailing Address - Fax:207-934-9757
Practice Address - Street 1:155 SACO AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:OLD ORCHARD BEACH
Practice Address - State:ME
Practice Address - Zip Code:04064-1600
Practice Address - Country:US
Practice Address - Phone:207-934-4132
Practice Address - Fax:207-934-9757
Is Sole Proprietor?:No
Enumeration Date:2009-09-02
Last Update Date:2011-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEDEN41741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice