Organization
MARK R. MAHER DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK R MAHER DDS (OWNER)
(925) 935-1159
Entity
Organization
Contact information
Practice address
1855 SAN MIGUEL DR, SUITE 1, WALNUT CREEK, CA 94596-5279
(925) 935-1159
(925) 935-1146
Mailing address
1855 SAN MIGUEL DR, SUITE 1, WALNUT CREEK, CA 94596-5279
(925) 935-1159
(925) 935-1146
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
52887
CA
Other
Enumeration date
12/01/2008
Last updated
12/01/2008
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