Search › Wisconsin › 1223G0001X
Mario Maritato, D.D.S
NPI 1649331695 · on the registry since 2006 · sole proprietor
Practice
- Address
- 5008 Green Bay Rd
Suite 104
Kenosha, WI 53144 - Phone
- (262) 657-0504
- Fax
- (262) 657-0515
- Organisation at this address
- Ahp 006 Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin