Mark A Kouris, D.D.S. Valid NPI
Individual provider · General Practice Dentistry · Mission Viejo, CA
- NPI
- 1518017995
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 32339 (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-01-10
- Last updated
- 2007-07-08
Practice location
27660 Marguerite Pkwy, 3a
Mission Viejo, CA 92692-3606
(949) 364-2222