Mark Fisher DDS

NPI 1699973644 - Dentist - 1223G0001X

NPI Details
NPI 1699973644
Gender Male
Enumeration Date 07/10/2007
Last Updated 07/10/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
18411 VENTURA BLVD
TARZANA CA, 91356-4201, US
Phone (818) 345-2025
Fax (818) 345-3229
Business Location
18411 VENTURA BLVD
TARZANA CA, 91356-4201, US
Phone (818) 345-2025
Fax (818) 345-3229
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 44475
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According to our database, Mark Fisher DDS NPI is 1699973644, taxonomy code is 1223G0001X and license number is 44475, license state is located at California. Mark Fisher DDS physically located at 18411 Ventura Blvd, Tarzana CA, 91356-4201. NPI Number Mark Fisher DDS has the Individual type.

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1699973644 NPI number is provided on an as is basis without warranty of any kind. 1699973644 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Fisher DDS are for informational purposes only.