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General NPI Number Information
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NPI Number | 1992928535
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Entity Type | Organization
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Legal Business Name | MARCOS & MARCOS DDS
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1375 SAN CARLOS AVE # A
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City | SAN CARLOS
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State | CA
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Zip | 94070-2317
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Country | US
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Telephone | 650-593-9888
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Fax | 650-593-9889
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Provider Business Mailing Address
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Address Line | 1375 SAN CARLOS AVE # A
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City | SAN CARLOS
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State | CA
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Zip | 94070-2317
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Country | US
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Telephone | 650-593-9888
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Fax | 650-593-9889
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Authorized Official
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Title or Position | JOINT PARTNER
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Name | DR. ANTHONY AREVELO MARCOS
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Credential | D.D.S.
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Telephone | 650-593-9888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 40464
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 42180
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License Number State | CA
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