Individual
DR. MARK RICHARDS DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4946 YORK ST, METAIRIE, LA 70001-1036
(504) 324-4309
Mailing address
4946 YORK ST, METAIRIE, LA 70001-1036
(504) 324-4309
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
S-492
LA
Other
Enumeration date
05/15/2010
Last updated
05/15/2010
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