Individual
DR. MARK SAMPANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10210 W MCDOWELL RD, SUITE #140, AVONDALE, AZ 85392-4842
(623) 873-0880
Mailing address
10210 W MCDOWELL RD, SUITE #140, AVONDALE, AZ 85392-4842
(623) 873-0880
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
55127
CA
1223G0001X
General Practice Dentistry
Primary
D7144
AZ
Other
Enumeration date
03/01/2007
Last updated
05/22/2012
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