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Organization
MARK J. MROCH, DDS,DENTAL CORP.
Active
Organization
MARK J. MROCH, DDS,DENTAL CORP.
Active
Parent organization
MROCH MERIDIAN DENTAL GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
MROCH MERIDIAN DENTAL GROUP
Authorized official
DR. MARK JOHN MROCH DDS (PRESIDENT)
(714) 639-9800
Entity
Organization
Contact information
Practice address
112 N MCPHERSON RD, ORANGE, CA 92869-3721
(714) 639-9800
(714) 639-9899
Mailing address
112 N MCPHERSON RD, ORANGE, CA 92869-3721
(714) 639-9800
(714) 639-9899
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DG33961
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B33961
—
CA
Enumeration date
03/31/2008
Last updated
03/31/2008
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