Organization
DENTAL ASSOCIATES OF MARQUETTE PLLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK F. MCGOVERN DDS (PARTNER)
(906) 228-9594
Entity
Organization
Contact information
Practice address
708 CHIPPEWA SQ, MARQUETTE, MI 49855-4814
(906) 228-9594
(906) 228-9196
Mailing address
708 CHIPPEWA SQ, MARQUETTE, MI 49855-4814
(906) 228-9594
(906) 228-9196
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
MM015901
MI
1223G0001X
General Practice Dentistry
MS19101
MI
1223G0001X
General Practice Dentistry
RP010017
MI
Other
Enumeration date
04/29/2009
Last updated
04/29/2009
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