DR. Philip Gordon Marais

NPI #1851715924 in Altadena, California

Provider Information

NPI Number: 1851715924
Entity Type: Individual
Name: DR. Philip Gordon Marais
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Feb 10, 2014
Last Updated: Feb 10, 2014

Practice Location

Address: 1955 LAKE AVE
City: Altadena
State: California
ZIP Code: 91001-3037
Phone: (626) 585-9544

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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