Mark Avetoom is a General Practice in Tustin, California. Mark Avetoom practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mark Avetoom is 1629137708. The last update date is 2007-07-08.
Mark Avetoom's current location address is 210 W. Main St., Tustin, California. You can contact this provider via phone number 7145441877 and fax number 7148323200. The mailing address for Mark Avetoom is 210 W. Main St., Tustin, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Avetoom |
|---|---|
| Address | 210 W. Main St., Tustin, California |
| Phone Number | 7145441877 |
| Fax Number | 7148323200 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1629137708 |
|---|---|
| Provider Enumeration Date | 2006-12-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 210 W. Main St. |
|---|---|
| City | Tustin |
| State | California (CA) |
| Post Code | 92780 |
| Phone Number | 7145441877 |
| Fax Number | 7148323200 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 36131 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique identifier code issued to Mark Avetoom by the Centers for Medicare & Medicaid Services?
The Mark Avetoom has been assigned the NPI (National Provider Identifier) 1629137708. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Mark Avetoom is physically located?
The Mark Avetoom is situated at the following address: 210 W. Main St., Tustin, CA 92780.
What is Mark Avetoom's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mark Avetoom is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date was the 1629137708 assigned to Mark Avetoom?
The Mark Avetoom was issued its 1629137708 on 2006-12-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Mark Avetoom last refreshed?
The information related to the Mark Avetoom, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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