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Search › California › 122300000X

Mark Ivanicki, DDS

NPI 1417921974 · on the registry since 2006 · sole proprietor

Practice

Address
1200 N Tustin Ave
Suite 102
Santa Ana, CA 92705
Phone
(714) 835-2215
Fax
(714) 835-4622
Organisation at this address
Xinming Fu, Md, Inc
Orange County Glaucoma
Arthur Selvan, Md; Inc.
Takeo Yamamoto, Dds Inc.
Practice Diagnostics Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
25

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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