Scoot Lewis Marcum SR. D.D.S

NPI 1720176084 - Dentist - 1223E0200X

NPI Details
NPI 1720176084
Gender Male
Enumeration Date 10/11/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
6975 SAN LUIS AVE
ATASCADERO CA, 93422-5201, US
Phone (805) 461-6682
Fax (805) 461-6681
Business Location
6975 SAN LUIS AVE
ATASCADERO CA, 93422-5201, US
Phone (805) 461-6682
Fax (805) 461-6681
Toxanomy
Taxonomy Code 1223E0200X
License State California
License Number 39181
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According to our database, Scoot Lewis Marcum SR. D.D.S NPI is 1720176084, taxonomy code is 1223E0200X and license number is 39181, license state is located at California. Scoot Lewis Marcum SR. D.D.S physically located at 6975 San Luis Ave, Atascadero CA, 93422-5201. NPI Number Scoot Lewis Marcum SR. D.D.S has the Individual type.

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1720176084 NPI number is provided on an as is basis without warranty of any kind. 1720176084 is maintained by the National Plan & Provider Enumeration System. The contents of Scoot Lewis Marcum SR. D.D.S are for informational purposes only.