Organization
MARK GIRGIS, D.M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK GIRGIS DMD (OWNER/ DENTAL PROVIDER)
(562) 753-3383
Entity
Organization
Contact information
Practice address
2710 N GRAND AVE, SANTA ANA, CA 92705-8750
(714) 941-9926
Mailing address
2710 N GRAND AVE, SANTA ANA, CA 92705-8750
(714) 941-9926
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912579186
—
CA
Enumeration date
12/11/2024
Last updated
12/11/2024
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