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Individual

DR. MARK DAVID MARKHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1501 E 10TH ST, ATLANTIC, IA 50022-1936
(712) 243-1833
(712) 243-7552
Mailing address
1501 E 10TH ST, PO BOX 603, ATLANTIC, IA 50022-1936
(712) 243-1833
(712) 243-7552

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6473
IA

Other

Enumeration date
04/02/2007
Last updated
07/08/2007
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