Individual
MR. MARK LANDIS CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
312 N WALNUT, CAMERON, MO 64429-1825
(816) 632-5812
(816) 632-8879
Mailing address
312 N WALNUT, CAMERON, MO 64429-1825
(816) 632-5812
(816) 632-8879
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14415
MO
Other
Enumeration date
10/29/2007
Last updated
11/06/2007
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