Individual
MARK DAVID MEDAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
23 MAIN ST, BELCHERTOWN, MA 01007
(413) 323-4335
(413) 323-7253
Mailing address
PO BOX 1310, BELCHERTOWN, MA 01007
(713) 323-4335
(413) 323-7253
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21023
MA
Other
Enumeration date
08/18/2006
Last updated
08/08/2012
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