Organization
MARK MAKLIN DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK DENNIS MAKLIN DMD (DENTIST)
(520) 325-6991
Entity
Organization
Contact information
Practice address
2370 N WYATT DR STE 110, TUCSON, AZ 85712-2119
(520) 325-6991
Mailing address
2370 N WYATT DR STE 110, TUCSON, AZ 85712-2119
(520) 325-6991
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D2008
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609904879
—
AZ
Enumeration date
04/29/2015
Last updated
04/29/2015
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