MEDICARE: MARK ALLEN NOCERA D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	CL38572	CA

General Provider Information

NPI Number	:	1437245222
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK ALLEN NOCERA D.D.S.

Provider Business Mailing Address
First Line	:	6994 EL CAMINO REAL
Second Line	:	STE. 108
City	:	CARLSBAD
State	:	CA
Zip	:	92009-4117
Country	:	US
Telephone Number	:	760-431-7711
Fax Number	:	760-431-0796

Provider Business Practice Location Address
First Line	:	6994 EL CAMINO REAL
Second Line	:	STE. 108
City	:	CARLSBAD
State	:	CA
Zip	:	92009-4117
Country	:	US
Telephone Number	:	760-431-7711
Fax Number	:	760-431-0796

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	07/08/2007

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