Individual
DR. MARK MIDHAT HABIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1667 COCHRANE CIR BLDG 7495, FORT CARSON, CO 80913-4603
(719) 339-6601
Mailing address
1667 COCHRANE CIR BLDG 7495, FORT CARSON, CO 80913-4603
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DEN.00205230
CO
1223G0001X
General Practice Dentistry
Primary
DEN.00205230
CO
Other
Enumeration date
06/27/2022
Last updated
08/21/2023
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