Individual
MR. CARLOS MARIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDA
Contact information
Practice address
10602 CHAPMAN AVE, SUITE 200, GARDEN GROVE, CA 92840-3146
(714) 638-5990
(714) 638-5992
Mailing address
10602 CHAPMAN AVE, SUITE, GARDEN GROVE, CA 92840-3146
(714) 638-5990
(714) 638-5992
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
66429
CA
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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