Mark Anthony Carbajal
Dental Assistant
12121 Wilshire Blvd Ste 1111
Los Angeles
, California 90025-1188
Mark Anthony Carbajal
Dental Assistant
12121 Wilshire Blvd Ste 1111
Los Angeles
, California 90025-1188
(323) 766-8154
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Mark Anthony Carbajal
- 2244 W 27th St
- Los Angeles, CA
- Zip : 90018-2529
- Phone : (323) 766-8154
Second Address
- Mark Anthony Carbajal
- 12121 Wilshire Blvd Ste 1111
- Los Angeles, CA
- Zip : 90025-1188
- Phone : (213) 451-1313
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | 449-735654 | CA |
National Provider Identifier
| NPI | 1215176052 |
|---|---|
| Provider Name | Mark Anthony Carbajal |
| First Address | Los Angeles, CA 90018-2529 |
| Second Address | Los Angeles, CA 90025-1188 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/02/2009 |
| Last Update Date | 18/02/2009 |
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.