DR. Marc Dentico-olin, DMD, MD is an oral and maxillofacial surgery dentist in San Diego, CA with 12 years of experience. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Marc Dentico-olin, DMD, MD NPI is 1629205174. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduation Year:2012
The provider's business location address is:
501 WASHINGTON ST STE 710
SAN DIEGO, CA
ZIP 92103-231
Phone: (619) 295-6774
Fax: (619) 295-6776
The NPI 1629205174 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 6/11/2009 and was last updated on 6/19/2020.