| Mahr Elder Dds Md P C | |
|
1805 Novato Blvd Suite 1 Novato CA 94947-2934 | |
| (415) 892-1190 | |
| (415) 892-7355 |
| Full Name | Mahr Elder Dds Md P C |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1805 Novato Blvd, Novato, California |
| Authorized Official Name and Position | Mahr Fairuke Elder (PRESIDENT) |
| Authorized Official Contact | 4158921190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mahr Elder Dds Md P C 1805 Novato Blvd Suite 1 Novato CA 94947-2934 Ph: (415) 892-1190 | Mahr Elder Dds Md P C 1805 Novato Blvd Suite 1 Novato CA 94947-2934 Ph: (415) 892-1190 |
| NPI Number | 1215128988 |
|---|---|
| Provider Enumeration Date | 08/07/2007 |
| Last Update Date | 08/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215128988 | NPI | - | NPPES |
| G93803-01 | Other | CA | MEDI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | D46586 (California) | Primary |
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