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Individual

MR. MARK PAUL YATES

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
11100 W MICHIGAN AVE, YOUNGTOWN, AZ 85363
(623) 974-5629
Mailing address
515 E CAREFREE HWY, PMB 834, PHOENIX, AZ 85085
(623) 465-2231

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D6484
AZ

Other

Enumeration date
05/02/2006
Last updated
07/08/2007
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