Individual
ALEXANDER V MAROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25542 JERONIMO RD STE 3, MISSION VIEJO, CA 92691-2724
(949) 457-0223
(949) 588-2766
Mailing address
25542 JERONIMO RD STE 3, MISSION VIEJO, CA 92691-2724
(949) 874-0025
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61710
CA
Other
Enumeration date
10/03/2012
Last updated
11/01/2020
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