Individual
MICHAEL L MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4001 LAKE OTIS PKWY, SUITE 202, ANCHORAGE, AK 99508-5211
(907) 334-9995
(907) 334-9951
Mailing address
10114 WREN LN, EAGLE RIVER, AK 99577-8767
(907) 334-9995
(907) 334-9951
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
931
AK
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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