Individual
MR. MARCOS ANTONIO DURAN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDA92927
Contact information
Practice address
15350 NORDHOFF ST UNIT A, NORTH HILLS, CA 91343-2234
(818) 724-8416
Mailing address
6728 VINELAND AVE APT E, NORTH HOLLYWOOD, CA 91606-2053
(818) 799-4901
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
RDA92927
CA
Other
Enumeration date
05/11/2020
Last updated
05/11/2020
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