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1730208216
MARK HENNIG
FULLERTON, CA
NPI
1730208216
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: CA 24232)
Enumeration Date
2007-03-28
Last Update Date
2007-07-08
Business Address
Dr. MARK HENNIG dds
701 S RAYMOND AVE STE 4B
FULLERTON, CA 92831-5201
Phone number: 714-992-2999
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Mailing Address
Dr. MARK HENNIG dds
1601 ASPEN ST
SANTA ANA, CA 92705-6903
Phone number: 714-836-9373
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