Individual
MARK ALLEN MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
107 BOGART RD, HURON, OH 44839-2303
(419) 433-2751
Mailing address
107 BOGART RD, HURON, OH 44839-2303
(419) 433-2751
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20860
OH
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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