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Organization
MARK AVETOOM, DDS
Active
Organization
MARK AVETOOM, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK AVETOOM DDS (OWNER)
(714) 544-1877
Entity
Organization
Contact information
Practice address
210 W MAIN ST STE 106, TUSTIN, CA 92780-7703
(714) 544-1877
(714) 832-3200
Mailing address
210 W MAIN ST STE 106, TUSTIN, CA 92780-7703
(714) 544-1877
(714) 832-3200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
36131
CA
Other
Enumeration date
02/23/2007
Last updated
08/22/2020
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