Individual
DR. MARK R SCILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
855 E BROWN RD, SUITE 7, MESA, AZ 85203-4958
(480) 834-0890
(480) 964-3175
Mailing address
855 E BROWN RD, SUITE 7, MESA, AZ 85203-4958
(480) 834-0890
(480) 964-3175
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6464
AZ
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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