Individual
MARK W HAMM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1313 W HARVARD AVE, ROSEBURG, OR 97470-2838
(541) 673-3355
(541) 673-1533
Mailing address
1381 SE MAGNOLIA DR, ROSEBURG, OR 97470-4373
(541) 673-4442
(541) 673-1533
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5836
OR
Other
Enumeration date
07/05/2005
Last updated
07/08/2007
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