| Mark Michna, DDS, Inc. | |
|
599 Sir Francis Drake Blvd Suite 306 Greenbrae CA 94904-1712 | |
| (415) 461-5351 | |
| (415) 461-4614 |
| Full Name | Mark Michna, DDS, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 599 Sir Francis Drake Blvd, Greenbrae, California |
| Authorized Official Name and Position | Mark Michna (DENTIST) |
| Authorized Official Contact | 4154614614 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Michna, DDS, Inc. 599 Sir Francis Drake Blvd Suite 306 Greenbrae CA 94904-1712 Ph: (415) 461-5351 | Mark Michna, DDS, Inc. 599 Sir Francis Drake Blvd Suite 306 Greenbrae CA 94904-1712 Ph: (415) 461-5351 |
| NPI Number | 1174814008 |
|---|---|
| Provider Enumeration Date | 04/26/2011 |
| Last Update Date | 10/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174814008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 39586 (California) | Primary |
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