Individual
MARK SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DT
Contact information
Practice address
141 E WILLIAM ST, ALBERT LEA, MN 56007-2530
(507) 377-5033
Mailing address
PO BOX 36, ALBERT LEA, MN 56007-0036
(507) 377-5033
Taxonomy
Speciality
Code
Description
License number
State
125J00000X
Dental Therapist
Primary
DT123
MN
Other
Enumeration date
04/25/2022
Last updated
04/25/2022
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