Individual
SCOOT LEWIS MARCUM SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
6975 SAN LUIS AVE, ATASCADERO, CA 93422-5201
(805) 461-6682
(805) 461-6681
Mailing address
6975 SAN LUIS AVE, ATASCADERO, CA 93422-5201
(805) 461-6682
(805) 461-6681
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
39181
CA
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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