Individual
DR. KEVIN JEFFREY MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
12 6TH AVE SW, BOWMAN, ND 58623-4518
(701) 523-3255
Mailing address
12 6TH AVE SW BOX 710, BOWMAN, ND 58623
(701) 523-3255
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2442
ND
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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