Correa, George Mark
Correa, George Mark is an individual health care provider with primary practice located at 509 Marin St Suite 220, Thousand Oaks CA 91360-4261. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Correa, George Mark can be contacted via phone (805) 374-8484.Contact Information
Primary practice address
509 Marin St Suite 220
Thousand Oaks CA 91360-4261
Phone: (805) 374-8484
Fax: (805) 374-9819
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 30542 | California |
Profile Details
| NPI number | 1063626539 |
|---|---|
| LBN Legal business name | Correa, George Mark |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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