Individual provider · Type 1 NPI

Ellen Mark, DDS

Pediatric Dentistry · Sacramento, CA

NPI number 1104073121 Active

Practice location

6399 Garfield Ave, Suite 150
Sacramento, CA 95841

Mailing address

PO Box 72866
Davis, CA 95617-2866

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X57132 (CA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1104073121

Ellen Mark, DDS's National Provider Identifier is 1104073121, issued on Aug 20, 2008. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Sacramento, CA. The record was last updated on Aug 20, 2008.