Individual
DR. DONALD M MARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
611 UNIVERSITY DR, SUITE 112, STATE COLLEGE, PA 16801-6552
(814) 234-0329
(814) 234-3508
Mailing address
611 UNIVERSITY DR, SUITE 112, STATE COLLEGE, PA 16801-6552
(814) 234-0329
(814) 234-3508
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS018302
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100217
UNITED CONCORDIA PROVIDER
PA
Enumeration date
07/26/2006
Last updated
07/08/2007
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