Mark Andrew Michna D.D.S.

NPI 1417143082 - Dentist - 1223G0001X

NPI Details
NPI 1417143082
Gender Male
Enumeration Date 09/18/2007
Last Updated 09/18/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
350 BON AIR RD
SUITE 100
GREENBRAE CA, 94904-1752, US
Phone (415) 461-4614
Fax (415) 461-4616
Business Location
350 BON AIR RD
SUITE 100
GREENBRAE CA, 94904-1752, US
Phone (415) 461-4614
Fax (415) 461-4616
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 39586
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According to our database, Dr. Mark Andrew Michna D.D.S. NPI is 1417143082, taxonomy code is 1223G0001X and license number is 39586, license state is located at California. Mark Andrew Michna D.D.S. physically located at 350 Bon Air Rd, Greenbrae CA, 94904-1752. NPI Number Mark Andrew Michna D.D.S. has the Individual type.

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1417143082 NPI number is provided on an as is basis without warranty of any kind. 1417143082 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Andrew Michna D.D.S. are for informational purposes only.