Individual
DR. MARK ALLEN WESTPHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
213 W 38TH ST, SCOTTSBLUFF, NE 69361-4626
(308) 635-3232
(308) 635-2968
Mailing address
213 W 38TH ST, SCOTTSBLUFF, NE 69361-4626
(308) 635-3232
(308) 635-2968
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5166
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47-0658545-01
—
NE
Enumeration date
02/13/2007
Last updated
07/09/2007
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