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DR. MARK S ADAM DDS

>> Dentist >> Dental Providers

Registrant NPI Number: 1114028479

Individual Registrant:
DR. MARK S ADAM DDS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
125 E STOWELL RD #103  SANTA MARIA, CA 93454 US
Tel: 805-928-4391  Fax: 805-925-4166

Contact information for business:
125 E STOWELL RD #103  SANTA MARIA, CA 93454 US
Tel: 805-928-4391  Fax: 805-925-4166

Registration Information:
NPI: 1114028479
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
CA27577

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
DENTICALB2757701CA01




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