Ellen Mark
Pediatric Dentist
6399 Garfield Ave Suite 150
Sacramento
, California 95841
Ellen Mark
Pediatric Dentist
6399 Garfield Ave Suite 150
Sacramento
, California 95841
(530) 756-5060
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Ellen Mark
- Po Box 72866
- Davis, CA
- Zip : 95617-2866
- Phone : (530) 756-5060
Second Address
- Ellen Mark
- 6399 Garfield Ave Suite 150
- Sacramento, CA
- Zip : 95841
- Phone : (916) 344-1000
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | 57132 | CA |
National Provider Identifier
| NPI | 1104073121 |
|---|---|
| Provider Name | Ellen Mark |
| First Address | Davis, CA 95617-2866 |
| Second Address | Sacramento, CA 95841 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/08/2008 |
| Last Update Date | 20/08/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.