Individual
DR. MARK WAYNE WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
414 SHOUP AVE W, ST. A, TWIN FALLS, ID 83301-5042
(208) 735-1345
(208) 734-4630
Mailing address
414 SHOUP AVE W, ST. A, TWIN FALLS, ID 83301-5042
(208) 735-1345
(208) 734-4630
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3265
ID
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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