Theodora Marzouk

NPI 1174045744 · on the registry since 2017

Practice

Address: 3317 Elm Street
Suite 202
Oakland, CA 94609
Phone: (510) 923-9790
Fax: (510) 923-9599
Organisation at this address: Kimberly Hicks M D Inc
Daniel S Nam, Dds, Inc
Community Care Services, Inc
Daniel Nam Dental Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 374U00000X
374U00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California