Individual
DR. MARK W JOINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1773 DOMINICAN WAY, SANTA CRUZ, CA 95065-1526
(831) 475-5500
(831) 475-0307
Mailing address
1773 DOMINICAN WAY, SANTA CRUZ, CA 95065-1526
(831) 475-5500
(831) 475-0307
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30566
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G93049
MEDI-CAL PROVIDER NUMBER
CA
Enumeration date
08/11/2006
Last updated
07/08/2007
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