Individual
DR. MARK AXELRODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2000 APPIAN WAY, SUITE 301, PINOLE, CA 94564-2574
(510) 724-8855
(510) 724-8861
Mailing address
2000 APPIAN WAY, SUITE 301, PINOLE, CA 94564-2574
(510) 724-8855
(510) 724-8861
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
40528
CA
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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