Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARK RICHARD KOENEN, DDS

Active Sole Proprietor

DR. MARK RICHARD KOENEN, DDS is a General Dentistry healthcare provider located in DANVILLE, California. NPI 1023111952 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · DANVILLE, CA

Registration Details

NPI Number: 1023111952
Provider Type: Individual
Gender: Male
NPI Issued: Sep 6, 2006 (19.790244103303 yrs)
Last Updated: Nov 7, 2012
License: 36780 (CA)
Sole Proprietor: Yes

Practice Information

Address: 520 LA GONDA WAY

# 204

DANVILLE, CA, 945261741
Browse CA providers · Browse ZIP 94526
Phone: 9258376318
Fax: 9258374992
Primary Specialty: General Dentistry
1223G0001X

Other General Dentistry Providers in DANVILLE, CA

Name	Credential	NPI
DR. ANNIE LOUIE WONG	D.D.S.	1518952639
DR. JOHN P O'GRADY	D.M.D.	1861459539
JAMES M. GIBLIN	D.D.S.	1609896141
DR. MARK STEVEN NADLER	DMD	1932113966
DR. MICHAEL JOHN REBOTTARO	DDS	1386658912
DR. DINO S JAVAHERI	D.D.S	1366457111

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.