# PROF. ANDREA MARR

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1316317852
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401415035 | VA | — |
| 1223G0001X | General Practice Dentistry | 105561 | CA | Yes |

## Other

- **Enumeration date:** 09/27/2015
- **Last updated:** 12/28/2020