Marston-smith Yv Dds Inc | |
7144 Airway Ave Yucca Valley CA 92284-3866 | |
(760) 365-4400 | |
Not Available |
Full Name | Marston-smith Yv Dds Inc |
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Speciality | Dentist - Pediatric Dentistry |
Location | 7144 Airway Ave, Yucca Valley, California |
Authorized Official Name and Position | Blake Marston (PRESIDENT/ORTHODONTIST) |
Authorized Official Contact | 4802398720 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Marston-smith Yv Dds Inc 14310 Eden Grv Poway CA 92064-2367 Ph: () - | Marston-smith Yv Dds Inc 7144 Airway Ave Yucca Valley CA 92284-3866 Ph: (760) 365-4400 |
NPI Number | 1215757687 |
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Provider Enumeration Date | 10/11/2024 |
Last Update Date | 10/11/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215757687 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
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