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DR. MARK PHILLIP MEINHARDT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
S42 W31330 HWY 83, GENESEE DEPOT, WI 53127
(262) 968-4720
Mailing address
PO BOX 68, GENESEE DEPOT, WI 53127-0068
(262) 968-4720

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5002103
WI

Other

Enumeration date
05/22/2008
Last updated
05/22/2008
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