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Organization
MARK K ADDONIZIO DDS INC
Active
Organization
MARK K ADDONIZIO DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY K ADDONIZIO DDS (OWNER/DENTIST)
(949) 582-2325
Entity
Organization
Contact information
Practice address
26932 OSO PKWY, SUITE 210, MISSION VIEJO, CA 92691-5815
(949) 582-2325
(949) 582-8631
Mailing address
26932 OSO PKWY, SUITE 210, MISSION VIEJO, CA 92691-5815
(949) 582-2325
(949) 582-8631
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
35214
CA
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
03/17/2017
Last updated
03/17/2017
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