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Individual

MARK E. BARNARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
902 DEBORAH RD, NEWBERG, OR 97132-2001
(503) 538-3129
Mailing address
902 DEBORAH RD, NEWBERG, OR 97132-2001
(503) 538-3129

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6256
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
061593
OMAP
OR
01
84443
UNITED HEALTHCARE INSURAN
OR
01
855442
UNITED CONCORDIA INSURANC
OR
Enumeration date
08/18/2006
Last updated
07/08/2007
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