| Mark Avetoom, Dds | |
|
210 W Main St Ste 106 Tustin CA 92780-7703 | |
| (714) 544-1877 | |
| (714) 832-3200 |
| Full Name | Mark Avetoom, Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 210 W Main St Ste 106, Tustin, California |
| Authorized Official Name and Position | Mark Avetoom (OWNER) |
| Authorized Official Contact | 7145441877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Avetoom, Dds 210 W Main St Ste 106 Tustin CA 92780-7703 Ph: (714) 544-1877 | Mark Avetoom, Dds 210 W Main St Ste 106 Tustin CA 92780-7703 Ph: (714) 544-1877 |
| NPI Number | 1033244439 |
|---|---|
| Provider Enumeration Date | 02/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033244439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 36131 (California) | Primary |
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