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1104073121
ELLEN MARK
SACRAMENTO, CA
NPI
1104073121
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist Pediatric Dentistry
(Licence: CA 57132)
Enumeration Date
2008-08-20
Last Update Date
2008-08-20
Business Address
ELLEN MARK DDS
6399 GARFIELD AVE SUITE 150
SACRAMENTO, CA 95841
Phone number: 916-344-1000
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Mailing Address
ELLEN MARK DDS
PO BOX 72866
DAVIS, CA 95617-2866
Phone number: 530-756-5060
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