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Organization
MARK A DA RE DDS
Active
Organization
MARK A DA RE DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A DA RE DDS (OWNER)
(805) 687-5669
Entity
Organization
Contact information
Practice address
2780 STATE ST, SUITE 2, SANTA BARBARA, CA 93105-5518
(805) 687-5669
(805) 687-1529
Mailing address
2780 STATE ST, SUITE 2, SANTA BARBARA, CA 93105-5518
(805) 687-5669
(805) 687-1529
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
33567
CA
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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