Individual
MARK NUGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3663 TORRANCE BLVD STE 3, TORRANCE, CA 90503-4817
(310) 791-0666
Mailing address
3663 TORRANCE BLVD STE 3, TORRANCE, CA 90503-4817
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
53259
CA
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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