Individual
DR. MARK C. WESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
325 W LOGAN RD, GARDEN CITY, UT 84028-7754
(435) 946-3660
(435) 946-8215
Mailing address
517 W 100 N STE 210, PROVIDENCE, UT 84332-9826
(435) 755-6061
(435) 994-8362
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12373907-9921
UT
122300000X
Dentist
D-5360
ID
1223G0001X
General Practice Dentistry
12373907-9921
UT
1223G0001X
General Practice Dentistry
956
WY
1223G0001X
General Practice Dentistry
D-5360
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115359500
—
WY
Enumeration date
10/12/2006
Last updated
07/28/2022
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