Markle Probasco Hansen DDS

NPI 1457419871 - Dentist - 122300000X

NPI Details
NPI 1457419871
Gender Male
Enumeration Date 12/05/2006
Last Updated 02/03/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
2654 4TH AVENUE
SAN DIEGO CA, 92103, US
Phone (619) 234-7493
Fax (619) 234-2130
Business Location
2654 4TH AVENUE
SAN DIEGO CA, 92103, US
Phone (619) 234-7493
Fax (619) 234-2130
Toxanomy
Taxonomy Code 122300000X
License State California
License Number 31278
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According to our database, Dr. Markle Probasco Hansen DDS NPI is 1457419871, taxonomy code is 122300000X and license number is 31278, license state is located at California. Markle Probasco Hansen DDS physically located at 2654 4th Avenue, San Diego CA, 92103. NPI Number Markle Probasco Hansen DDS has the Individual type.

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1457419871 NPI number is provided on an as is basis without warranty of any kind. 1457419871 is maintained by the National Plan & Provider Enumeration System. The contents of Markle Probasco Hansen DDS are for informational purposes only.