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Individual
DR. MARK L MASHBURN
Active
Individual
DR. MARK L MASHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22854
TX
1223G0001X
General Practice Dentistry
Primary
22854
TX
1223G0001X
General Practice Dentistry
3526
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1746328
UNITED CONCORDIA
AR
01
—
22854
TX LICENSE
TX
01
—
5Y565
BCBS
AR
Enumeration date
11/01/2006
Last updated
08/28/2023
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