Individual
DR. MARK A BARRETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
215 N SPRING ST, BEAVER DAM, WI 53916-2137
(920) 885-6066
Mailing address
215 N SPRING ST, BEAVER DAM, WI 53916-2137
(920) 885-6066
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1595G
WI
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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