Provider Demographics
NPI:1649508656
Name:PAUL, CINE MARINA (DMD)
Entity type:Individual
Prefix:
First Name:CINE
Middle Name:MARINA
Last Name:PAUL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:909 TRIPP RD # 190
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-5703
Mailing Address - Country:US
Mailing Address - Phone:972-752-6210
Mailing Address - Fax:773-565-4065
Practice Address - Street 1:11203 LAKE JUNE RD STE 120
Practice Address - Street 2:
Practice Address - City:BALCH SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:75180-1304
Practice Address - Country:US
Practice Address - Phone:972-752-6210
Practice Address - Fax:972-629-6905
Is Sole Proprietor?:No
Enumeration Date:2009-12-02
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14042917122300000X
IL019028576122300000X
TX25101122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist