Individual
DR. MARK T MCGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4039 80TH ST STE C, KENOSHA, WI 53142-4959
(262) 694-9606
Mailing address
4039 80TH ST STE C, KENOSHA, WI 53142-4959
(262) 694-9606
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
06299-15
WI
Other
Enumeration date
04/27/2007
Last updated
09/28/2008
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