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MR. JOHN MICHAEL ADAM DMD

Orthodontics and Dentofacial Orthopedics >> Dentist >> Dental Providers

Registrant NPI Number: 1184636243

Individual Registrant:
MR. JOHN MICHAEL ADAM DMD
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

Contact information for business:
1311 S MILLER ST #201 SANTA MARIA, CA 93454 US
Tel: 805-928-2597  Fax: 805-928-0789

Registration Information:
NPI: 1184636243
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223X0400XDental Providers
Dentist
Orthodontics and Dentofacial Orthopedics
CA31188

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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