Individual
DR. MARK J MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
10 RUPERT ST, MONTE VISTA, CO 81144-1042
(719) 852-3011
Mailing address
3355 N ACADEMY BLVD, BOX 633, COLORADO SPRINGS, CO 80917-5103
(719) 641-6587
(719) 683-5974
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3617
CO
Other
Enumeration date
08/28/2007
Last updated
08/28/2007
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