DR. Virgil Salomon Mara I, DDS
NPI #1114068814 in Culver City, California
Provider Information
- NPI Number
- 1114068814
- Entity Type
- Individual
- Name
- DR. Virgil Salomon Mara I, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Feb 8, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 9020 VENICE BLVD
- City
- Culver City
- State
- California
- ZIP Code
- 90232-2305
- Phone
- (310) 836-3136
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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