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Individual

DR. CRISTINA ROSE MARKIEWICZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
400 S. REINO ROAD, SUITE 100, NEWBURY PARK, CA 91320
(805) 498-0400
(805) 273-9003
Mailing address
400 S. REINO ROAD, SUITE 100, NEWBURY PARK, CA 91320
(805) 498-0400
(805) 273-9003

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
100395
CA
1223G0001X
General Practice Dentistry
Primary
100395
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100395
DENTAL BOARD OF CALIFORNIA
CA
Enumeration date
07/12/2016
Last updated
08/20/2019
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