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Organization
MARK MICHNA, DDS, INC.
Active
Organization
MARK MICHNA, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK MICHNA DDS (DENTIST)
(415) 461-4614
Entity
Organization
Contact information
Practice address
599 SIR FRANCIS DRAKE BLVD, SUITE 306, GREENBRAE, CA 94904-1712
(415) 461-5351
(415) 461-4614
Mailing address
599 SIR FRANCIS DRAKE BLVD, SUITE 306, GREENBRAE, CA 94904-1712
(415) 461-5351
(415) 461-4614
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
39586
CA
Other
Enumeration date
04/26/2011
Last updated
10/04/2012
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