Individual
DR. MARK WADE ZIEGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6026 BATTIEST PICKENS RD, BROKEN BOW, OK 74728-5033
(580) 241-5294
(580) 241-5739
Mailing address
PO BOX 180, BATTIEST, OK 74722-0180
(580) 241-5294
(580) 241-5739
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
18313
TX
1223G0001X
General Practice Dentistry
Primary
5993
OK
Other
Enumeration date
05/16/2007
Last updated
09/03/2015
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