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

DR. MARC DENTICO-OLIN, DMD, MD

Active

DR. MARC DENTICO-OLIN, DMD, MD is a Oral & Maxillofacial Surgery healthcare provider located in SAN DIEGO, California. NPI 1629205174 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · SAN DIEGO, CA

Registration Details

NPI Number
1629205174
Provider Type
Individual
Gender
Male
NPI Issued
Jun 11, 2009 (17.133404349626 yrs)
Last Updated
Jun 19, 2020
Licenses
A143794 (CA)
OMS109 (CA)
A143794 (CA)

Practice Information

Address
501 WASHINGTON ST STE 710
SAN DIEGO, CA, 921032231
Browse CA providers · Browse ZIP 92103
Phone
6192956774
Fax
6192956776
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X
Additional Specialty
Oral & Maxillofacial Surgery
Additional Specialty
Oral & Maxillofacial Surgery

Other Oral & Maxillofacial Surgery Providers in SAN DIEGO, CA

Name Credential NPI
DR. JOHN RAY GORDON D.D.S. 1326030990
DR. JAMES H MACDOWELL D.D.S. 1629053798
DR. JEFFREY GERALD ANT DDS,MD 1881670412
DR. KURT GERARD HUMMELDORF DMD 1679543599
DR. RICHARD P MERRIFIELD IV DDS 1396716676
DR. JOSEPH VINCENT OLSZOWKA D.M.D 1790756294
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.