Provider Demographics
NPI:1386040087
Name:MARKU, GETINA (RDH)
Entity Type:Individual
Prefix:
First Name:GETINA
Middle Name:
Last Name:MARKU
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32519 TRAVIATTA CT
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592-6619
Mailing Address - Country:US
Mailing Address - Phone:951-795-9309
Mailing Address - Fax:
Practice Address - Street 1:10450 FRIARS RD STE G
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92120-2311
Practice Address - Country:US
Practice Address - Phone:619-640-5100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-07
Last Update Date:2015-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28542124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist