Mark Ray Mallett in Cypress - Dentist

Mark Ray Mallett - NPI 1043427289

Mark Ray Mallett is a Dentist in Cypress, California. Mark Ray Mallett practices all healthcare services and medical treatments related to Dentist. The NPI Number for Mark Ray Mallett is 1043427289. The last update date is 2007-07-08.

Mark Ray Mallett's current location address is 11444 Tortuga St, Cypress, California. You can contact this provider via phone number 5625961655 and fax number 5627999599. The mailing address for Mark Ray Mallett is 11444 Tortuga St, Cypress, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Ray Mallett
Address 11444 Tortuga St, Cypress, California
Phone Number 5625961655
Fax Number 5627999599
Sole Proprietor Y
Credentials D.D.S

NPI Number Detail

NPI Number 1043427289
Provider Enumeration Date 2007-05-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 11444 Tortuga St
City Cypress
State California (CA)
Post Code 906305304
Phone Number 5625961655
Fax Number 5627999599

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 19927
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about Mark Ray Mallett

What is the Mark Ray Mallett's 1043427289?

The Mark Ray Mallett's NPI (National Provider Identifier) Number is 1043427289. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Mark Ray Mallett is physically located?

The Mark Ray Mallett is physically situated at the following address: 11444 Tortuga St, Cypress, CA, 906305304.

What is Mark Ray Mallett's specialized field of practice, and what is the corresponding taxonomy classification code?

The Mark Ray Mallett's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.

On what date did Mark Ray Mallett receive its 1043427289 assignment from the Centers for Medicare & Medicaid Services?

The Mark Ray Mallett was assigned its 1043427289 on 2007-05-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Mark Ray Mallett, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Mark Ray Mallett, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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