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MARC ALEXANDER DDS

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1700978947

Individual Registrant:
 MARC  ALEXANDER DDS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
125 GRANT STREET  HEALDSBURG, CA 95448 US
Tel: 707-433-2425  Fax: 707-433-6824

Contact information for business:
125 GRANT STREET  HEALDSBURG, CA 95448 US
Tel: 707-431-8767  Fax: --

Registration Information:
NPI: 1700978947
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
CA38391

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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