Individual
DR. MARK W AN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
11811 MUKILTEO SPEEDWAY, SUITE 102, MUKILTEO, WA 98275-5442
(425) 267-9900
(425) 267-9901
Mailing address
11811 MUKILTEO SPEEDWAY, SUITE 102, MUKILTEO, WA 98275-5442
(425) 267-9900
(425) 267-9901
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00010456
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5050968
—
WA
Enumeration date
01/13/2007
Last updated
07/08/2007
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