Individual
DR. MARK EDWARD IOCCA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2000 SPRING ARBOR RD, STE A, JACKSON, MI 49203-2636
(517) 787-5210
(517) 787-9223
Mailing address
2000 SPRING ARBOR RD, STE A, JACKSON, MI 49203-2636
(517) 787-5210
(517) 787-9223
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10683
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1953813340
MEDICAL PROVIDER
MI
Enumeration date
01/18/2006
Last updated
07/08/2007
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