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Organization

DONALD M MARKS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DONALD M MARKS DMD (DENTIST)
(814) 234-0329
Entity
Organization

Contact information

Practice address
611 UNIVERSITY DR, STATE COLLEGE, PA 16801-6552
(814) 234-0329
Mailing address
611 UNIVERSITY DR, SUITE 112, STATE COLLEGE, PA 16801-6552

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS018302
PA
332BC3200X
Customized Equipment (DME)

Other

Enumeration date
08/19/2014
Last updated
01/05/2015
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