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1033750567
MARK JONATHAN MATERUM
DALY CITY, CA
NPI
1033750567
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 103450)
Enumeration Date
2019-10-07
Last Update Date
2019-10-07
Business Address
Dr. MARK JONATHAN MATERUM DDS
343 GELLERT BLVD STE A
DALY CITY, CA 94015-2620
Phone number: 650-991-0611
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Mailing Address
Dr. MARK JONATHAN MATERUM DDS
343 GELLERT BLVD STE A
DALY CITY, CA 94015-2620
Phone number: 650-991-0611
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