Justin Mariano

NPI 1760210728 · on the registry since 2024 · sole proprietor

Practice

Address: 801 Woodside Rd Ste 11
Redwood City, CA 94061
Phone: (510) 538-1111
Organisation at this address: Good Smiles Llc
Sohail M. Ebrahimi Dds Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Additional practice sites

149 2nd St, Los Altos, CA

Registry record

Primary taxonomy: 111N00000X
111N00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-07-22

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 California