Marks, Clifford Owen
Marks, Clifford Owen is an sole proprietor health care provider with primary practice located at 1580 Winchester Blvd Ste 303, Campbell CA 95008-0519. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Marks, Clifford Owen can be contacted via phone (408) 378-3489.Contact Information
Primary practice address
1580 Winchester Blvd Ste 303
Campbell CA 95008-0519
Phone: (408) 378-3489
Fax: (408) 378-0134
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 35143 | California |
Profile Details
| NPI number | 1396741484 |
|---|---|
| LBN Legal business name | Marks, Clifford Owen |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Jun 21st, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396741484 | NPPES |
| California | MEDICAID | B35143 |
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