Mark Anthony Amundsen DDS

NPI 1477638872 - Dentist - 1223G0001X

NPI Details
NPI 1477638872
Gender Male
Enumeration Date 10/25/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
6325 TOPANGA CANYON BLVD
SUITE 411
WOODLAND HILLS CA, 91367-2006, US
Phone (818) 340-4110
Fax (818) 340-7320
Business Location
6325 TOPANGA CANYON BLVD
SUITE 411
WOODLAND HILLS CA, 91367-2006, US
Phone (818) 340-4110
Fax (818) 340-7320
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 30508
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According to our database, Dr. Mark Anthony Amundsen DDS NPI is 1477638872, taxonomy code is 1223G0001X and license number is 30508, license state is located at California. Mark Anthony Amundsen DDS physically located at 6325 Topanga Canyon Blvd, Woodland Hills CA, 91367-2006. NPI Number Mark Anthony Amundsen DDS has the Individual type.

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1477638872 NPI number is provided on an as is basis without warranty of any kind. 1477638872 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Anthony Amundsen DDS are for informational purposes only.