Provider Demographics
NPI:1003535055
Name:MAROKI, NANCY SAMI (DDS)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:SAMI
Last Name:MAROKI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2908 LAKE BREEZE CT
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:91977-3474
Mailing Address - Country:US
Mailing Address - Phone:619-402-5308
Mailing Address - Fax:
Practice Address - Street 1:2908 LAKE BREEZE CT
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:CA
Practice Address - Zip Code:91977-3474
Practice Address - Country:US
Practice Address - Phone:619-402-5308
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-23
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA107786122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist