Mallett, Mark Ray
Mallett, Mark Ray is an sole proprietor health care provider with primary practice located at 3551 Farquhar Ave Suite 103, Los Alamitos CA 90720-2003. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Mallett, Mark Ray can be contacted via phone (562) 596-1655.Contact Information
Primary practice address
3551 Farquhar Ave Suite 103
Los Alamitos CA 90720-2003
Phone: (562) 596-1655
Fax: (562) 799-9599
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 19927 | California |
Profile Details
| NPI number | 1043427289 |
|---|---|
| LBN Legal business name | Mallett, Mark Ray |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 17th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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