Individual
L. MARK MILDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
101 FIRST ST., MARBLE HILL, MO 63764
(573) 238-3330
(573) 238-3464
Mailing address
101 FIRST ST, MARBLE HILL, MO 63764
(573) 238-3330
(573) 238-3464
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12724
MO
Other
Enumeration date
12/31/2009
Last updated
12/31/2009
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