Individual
DR. MARK T MUSGRAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
98 W WILLIAM ST, DELAWARE, OH 43302
(740) 362-6952
(740) 362-7812
Mailing address
98 W WILLIAM ST, DELAWARE, OH 43015
(740) 362-6952
(740) 362-7812
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30 01 8783
OH
Other
Enumeration date
02/01/2008
Last updated
02/01/2008
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