Individual
DR. MARK KURCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
713 N BEAVER ST, FLAGSTAFF, AZ 86001-3142
(928) 774-0881
Mailing address
713 N BEAVER ST, FLAGSTAFF, AZ 86001-3142
(928) 774-0881
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
13260
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
D 6652
AZ
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DEN-9169
CO
Other
Enumeration date
10/13/2009
Last updated
03/15/2022
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