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Organization
PHILIP G. MARAIS, DDS
Active
Organization
PHILIP G. MARAIS, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP GORDON MARAIS DDS (OWNER/DENTIST)
(310) 320-1471
Entity
Organization
Contact information
Practice address
1270 SARTORI AVE, TORRANCE, CA 90501-2717
(310) 320-1471
(310) 320-7645
Mailing address
1270 SARTORI AVE, TORRANCE, CA 90501-2717
(310) 320-1471
(310) 320-7645
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
27333
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122300000X
TAXONOMY NUMBER
CA
01
—
1851715924
NPI NUMBER
CA
Enumeration date
04/23/2016
Last updated
04/23/2016
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