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1023386638
MARK JOHN NIZIBIAN
PETALUMA, CA
NPI
1023386638
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA DA 034394)
Enumeration Date
2011-12-09
Last Update Date
2011-12-09
Business Address
Dr. MARK JOHN NIZIBIAN D.D.S.
1122 B ST
PETALUMA, CA 94952-4055
Phone number: 707-763-1688
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Mailing Address
Dr. MARK JOHN NIZIBIAN D.D.S.
1122 B ST
PETALUMA, CA 94952-4055
Phone number: 707-763-1688
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