| Mark J. Mroch, Dds,dental Corp. | |
|
112 N Mcpherson Rd Orange CA 92869-3721 | |
| (714) 639-9800 | |
| (714) 639-9899 |
| Full Name | Mark J. Mroch, Dds,dental Corp. |
|---|---|
| Speciality | Dentist |
| Location | 112 N Mcpherson Rd, Orange, California |
| Authorized Official Name and Position | Mark John Mroch (PRESIDENT) |
| Authorized Official Contact | 7146399800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark J. Mroch, Dds,dental Corp. 112 N Mcpherson Rd Orange CA 92869-3721 Ph: (714) 639-9800 | Mark J. Mroch, Dds,dental Corp. 112 N Mcpherson Rd Orange CA 92869-3721 Ph: (714) 639-9800 |
| NPI Number | 1285806141 |
|---|---|
| Provider Enumeration Date | 03/31/2008 |
| Last Update Date | 03/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285806141 | NPI | - | NPPES |
| B33961 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DG33961 (California) | Primary |
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