Individual
LAURYN E MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
510 NE 8TH ST, MCMINNVILLE, OR 97128-3910
(503) 472-3147
Mailing address
1401 E 2ND ST UNIT B, NEWBERG, OR 97132-3254
(505) 917-2675
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10297
OR
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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