| NPI | 1427447028 |
|---|---|
| Doing Business As | ST. MARK FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | MAGED M ELNAGGAR Dentist 818-667-8257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 60170) |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2020-08-05 |