Individual
DR. MARK ROBERT DUFFY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2300 W BROAD ST, COLUMBUS, OH 43204-3783
(614) 645-2300
(614) 645-5517
Mailing address
2780 AIRPORT DR STE 100, COLUMBUS, OH 43219-2289
(614) 859-1906
(614) 645-5517
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.025112
OH
Other
Enumeration date
06/18/2017
Last updated
10/03/2019
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