Provider Demographics
NPI:1982687612
Name:TRUHE, MARK ALLEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:ALLEN
Last Name:TRUHE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:MR
Other - First Name:MARK
Other - Middle Name:ALLEN
Other - Last Name:TRUBE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:650 RIO LINDO AVE
Mailing Address - Street 2:STE 10
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-1808
Mailing Address - Country:US
Mailing Address - Phone:530-893-5800
Mailing Address - Fax:530-893-2652
Practice Address - Street 1:650 RIO LINDO AVE
Practice Address - Street 2:STE 10
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-1808
Practice Address - Country:US
Practice Address - Phone:530-893-5800
Practice Address - Fax:530-893-2652
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46704208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice