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DR. MARK LOWELL GREENMUN DDS

>> Dentist >> Dental Providers

Registrant NPI Number: 1275789562

Individual Registrant:
DR. MARK LOWELL GREENMUN DDS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
2774 MINERS FLAT RD  GEORGETOWN, CA 95634-9345 US
Tel: 530-333-4114  Fax: --

Contact information for business:
2774 MINERS FLAT RD  GEORGETOWN, CA 95634-9345 US
Tel: 530-333-4114  Fax: --

Registration Information:
NPI: 1275789562
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
CA57340

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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