Organization
MARK A. CONOVER DDS MS APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK CONOVER (PRESIDENT)
(951) 652-2474
Entity
Organization
Contact information
Practice address
255 N GILBERT ST STE A, HEMET, CA 92543-4066
(951) 652-2474
Mailing address
255 N GILBERT ST STE A, HEMET, CA 92543-4066
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
28914
CA
Other
Enumeration date
03/27/2007
Last updated
07/04/2013
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