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MARK ALAN LUBAN D.D.S.
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1508002353
Individual Registrant: MARK ALAN LUBAN D.D.S.
Gender: M
Sole Proprietor
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
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
Tel: 858-395-3381 Fax: 858-756-3377
Registration Information:
NPI: 1508002353
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 122300000X | Dental Providers Dentist | CA | 29358 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
