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Dr. Marc Dentico-olin, DMD,MD
Oral and Maxillofacial Surgery (Dentist) in San Diego, California
NPI 1629205174

Marc Dentico-olin is a Oral and Maxillofacial Surgery (Dentist) based in San Diego, CA and is specialized in Oral and Maxillofacial Surgery. Marc Dentico-olin practices in San Diego, CA and has the professional credentials of DMD,MD. The NPI Number for Marc Dentico-olin is 1629205174 and holds a License No. A143794 (California).

The current practice location address for Marc Dentico-olin is 501 Washington St Ste 710, San Diego, CA and can be reached out via phone at 619-295-6774 and via fax at 619-295-6776.

Location: 501 Washington St Ste 710, San Diego, CA, 92103-2231
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629205174
Provider Name
Marc Dentico-olin
Credential
DMD,MD
Provider Entity Type
Individual
Gender
Male
Address
501 Washington St Ste 710, San Diego, CA, 92103-2231
Phone Number
619-295-6774
Fax Number
619-295-6776
Provider Enumeration Date
06/11/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
501 Washington St Ste 710
City
San Diego
State
California
Zip
92103-2231
Phone Number
619-295-6774
Fax Number
619-295-6776
person
Provider Business Mailing Address Details
Address
501 Washington St Ste 710
City
San Diego
State
California
Zip
92103-2231
Phone Number
619-295-6774
Fax Number
619-295-6776
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
OMS109 (California)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A143794 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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