Individual
MARK BUDOVITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5225 N 19TH AVE, C, PHOENIX, AZ 85015
(602) 433-0313
(602) 433-9343
Mailing address
5225 N 19TH AVE, C, PHOENIX, AZ 85015
(602) 433-0313
(602) 433-9343
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4723
AZ
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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