Individual
DR. RICHARD GEORGE MARK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3922 S LYNN CT, STE A, INDEPENDENCE, MO 64055-6515
(816) 461-3660
(816) 461-4151
Mailing address
3922 S LYNN CT, STE A, INDEPENDENCE, MO 64055-3384
(816) 461-3660
(816) 461-4151
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
013494
MO
Other
Enumeration date
06/30/2005
Last updated
07/08/2007
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