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Organization
MARK F SOUERS DDS PA
Active
Organization
MARK F SOUERS DDS PA
Active
Other names
Mark F Souers DDS
Organization subpart
No
Provider details
NPI number
Authorized official
MARK FOSTER SOUERS DDS (PRESIDENT)
(952) 476-6655
Entity
Organization
Contact information
Practice address
1421 WAYZATA BLVD, SUITE #325, WAYZATA, MN 55391-1939
(952) 476-6655
(952) 476-8293
Mailing address
1421 WAYZATA BLVD, SUITE #325, WAYZATA, MN 55391-1939
(952) 476-6655
(952) 476-8293
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10330
MN
Other
Enumeration date
08/21/2006
Last updated
08/22/2020
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