Individual
DR. MARK JOSEPH SKALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1905 PLAZA DR, EAGAN, MN 55122-2883
(651) 686-6678
(651) 686-5504
Mailing address
1539 110TH AVE, HAMMOND, WI 54015-4803
(715) 796-2927
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10168
MN
1223G0001X
General Practice Dentistry
—
WI
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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