Organization
MARK CARPENTER MILITARY DENTAL SERVICE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK KOUP DMD (PRESIDENT)
(267) 968-7477
Entity
Organization
Contact information
Practice address
85 DARBY RD, PAOLI, PA 19301-1415
(267) 968-7477
Mailing address
85 DARBY RD, PAOLI, PA 19301-1415
(267) 968-7477
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/03/2025
Last updated
10/03/2025
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