Individual
DR. MARK E HAVERKORN
Active
Individual
DR. MARK E HAVERKORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
23739
TX
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
N4460
TX
Other
Enumeration date
05/23/2007
Last updated
10/11/2018
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