Mark Ebrahimian D.M.D.

NPI 1437288594 - Dentist - 1223G0001X

NPI Details
NPI 1437288594
Gender Male
Enumeration Date 03/05/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2112 SOQUEL AVE
SANTA CRUZ CA, 95062-1401, US
Phone (831) 458-3368
Fax
Business Location
2112 SOQUEL AVE
SANTA CRUZ CA, 95062-1401, US
Phone (831) 458-3368
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 30167
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According to our database, Dr. Mark Ebrahimian D.M.D. NPI is 1437288594, taxonomy code is 1223G0001X and license number is 30167, license state is located at California. Mark Ebrahimian D.M.D. physically located at 2112 Soquel Ave, Santa Cruz CA, 95062-1401. NPI Number Mark Ebrahimian D.M.D. has the Individual type.

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1437288594 NPI number is provided on an as is basis without warranty of any kind. 1437288594 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Ebrahimian D.M.D. are for informational purposes only.