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Individual
DR. MARK FRANCIS ENVERGA
Active
Individual
DR. MARK FRANCIS ENVERGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
103004
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103004
DENTAL BOARD OF CALIFORNIA
CA
Enumeration date
08/05/2018
Last updated
08/05/2018
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