Individual
DR. MARK JOEL DEROCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
45 WASHINGTON AVE E, HUTCHINSON, MN 55350-2574
(320) 587-3502
Mailing address
45 WASHINGTON AVE E, HUTCHINSON, MN 55350-2574
(952) 649-7255
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D13128
MN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D13128
MN
Other
Enumeration date
04/20/2012
Last updated
07/25/2022
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