Mark Avetoom, DDS

General Practice Dentistry · Tustin, CA

Organization Active NPI

NPI number 1033244439

Practice location

210 W Main St Ste 106
Tustin, CA 92780-7703
Phone
(714) 544-1877
Fax
(714) 832-3200

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NPI record

NPI
1033244439
Entity type
Organization (Type 2)
Enumeration date
February 23, 2007
Last updated
August 22, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 36131 CA

Authorized official

Name
Mark Avetoom, DDS
Title
Owner
Phone
(714) 544-1877

About Mark Avetoom, DDS

Mark Avetoom, DDS is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 210 W Main St Ste 106, Tustin, CA 92780-7703. The NPI number 1033244439 was assigned on February 23, 2007 and the record was last updated on August 22, 2020.

Mark Avetoom, DDS lists a license in the registry: #36131 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Mark Avetoom, DDS, Owner.

Frequently asked questions

What is the NPI number of Mark Avetoom, DDS?

The NPI number is 1033244439.

What is the phone number of Mark Avetoom, DDS?

The phone number listed for the practice location is (714) 544-1877.

Where is Mark Avetoom, DDS located?

210 W Main St Ste 106, Tustin, CA 92780-7703.

What is the taxonomy code for Mark Avetoom, DDS?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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