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Individual

MARC AUSUBEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
100 N PALM ST, WOODLAKE, CA 93286-1423
(559) 561-1113
(559) 802-5706
Mailing address
45429 SIERRA DR, THREE RIVERS, CA 93271-9709

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12333
CA

Other

Enumeration date
02/02/2007
Last updated
09/27/2016
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