Individual
PHILLIP LYNN MARKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2105 PINE ST, HARLAN, IA 51537
(712) 755-5342
(712) 755-5666
Mailing address
2105 PINE ST, HARLAN, IA 51537
(712) 755-5342
(712) 755-5666
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7374
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0299883
—
IA
Enumeration date
08/21/2006
Last updated
07/08/2007
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