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MR. JOHN MICHAEL ADAM DMD
Orthodontics and Dentofacial Orthopedics >> Dentist >> Dental ProvidersRegistrant NPI Number: 1184636243
Individual Registrant:MR. JOHN MICHAEL ADAM DMD
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
1311 S MILLER ST #201 SANTA MARIA, CA 93454 US
Tel: 805-928-2597 Fax: 805-928-0789
Tel: 805-928-2597 Fax: 805-928-0789
Contact information for business:
1311 S MILLER ST #201 SANTA MARIA, CA 93454 US
Tel: 805-928-2597 Fax: 805-928-0789
Tel: 805-928-2597 Fax: 805-928-0789
Registration Information:
NPI: 1184636243
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223X0400X | Dental Providers Dentist Orthodontics and Dentofacial Orthopedics | CA | 31188 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
