Individual
MARK THOMAS SHERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
30957 OLD HWY 371, PEQUOT LAKES, MN 56472-0128
(218) 568-8295
(218) 568-4702
Mailing address
PO BOX 128, 30957 OLD HWY 371, PEQUOT LAKES, MN 56472-0128
(218) 568-8295
(218) 568-4702
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11015
MN
Other
Enumeration date
10/13/2006
Last updated
07/08/2007
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