Marks, Clifford Owen

Marks, Clifford Owen is an sole proprietor health care provider with primary practice located at 1580 Winchester Blvd Ste 303, Campbell CA 95008-0519. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Marks, Clifford Owen can be contacted via phone (408) 378-3489.

Contact Information

Primary practice address
1580 Winchester Blvd Ste 303 Campbell CA 95008-0519
Phone: (408) 378-3489
Fax: (408) 378-0134
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 35143 California

Profile Details

NPI number 1396741484
LBN Legal business name Marks, Clifford Owen
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2005
Last updated Jun 21st, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396741484 NPPES
California MEDICAID B35143

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