Individual
DR. IVAN ALAN MARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.
Contact information
Practice address
10833 LE CONTE AVE, LOS ANGELES, CA 90095-1427
(310) 825-0834
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
54583
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
A121186
CA
Other
Enumeration date
01/25/2008
Last updated
04/03/2025
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