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MARK ALAN LUBAN D.D.S.

>> Dentist >> Dental Providers

Registrant NPI Number: 1508002353

Individual Registrant:
 MARK ALAN LUBAN D.D.S.
Gender: M
Sole Proprietor

Location and contact information for practice:
17156 EL VUELO 1872 RANCHO SANTA FE, CA 92067-1872 US
Tel: 858-395-3381  Fax: 858-756-3377

Contact information for business:
PO BOX 1872  RANCHO SANTA FE, CA 92067-1872 US
Tel: 858-395-3381  Fax: 858-756-3377

Registration Information:
NPI: 1508002353
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
CA29358

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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