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Individual

DR. RONALD B MARKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1403 PETERMAN DRIVE, ALEXANDRIA, LA 71301
(318) 443-7208
(318) 443-0046
Mailing address
1403 PETERMAN DRIVE, ALEXANDRIA, LA 71301
(318) 443-7208
(318) 443-0046

Taxonomy

Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
2367
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
136654
UCCI
01
H2059
BCBS
LA
Enumeration date
08/11/2006
Last updated
07/08/2007
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