Judy, Mark Andrew
Judy, Mark Andrew is an sole proprietor health care provider with primary practice located at 330 Park Ave Ste 5, Laguna Beach CA 92651-2352. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Judy, Mark Andrew can be contacted via phone (949) 494-4814.Contact Information
Primary practice address
330 Park Ave Ste 5
Laguna Beach CA 92651-2352
Phone: (949) 494-4814
Fax: (949) 494-2142
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 22990 | California |
Profile Details
| NPI number | 1902028657 |
|---|---|
| LBN Legal business name | Judy, Mark Andrew |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 3rd, 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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