Individual
DR. MARK L DIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
12917 SE 38TH ST, #202, BELLEVUE, WA 98006-1349
(425) 747-8052
(425) 562-7222
Mailing address
14259 209TH AVE NE, WOODINVILLE, WA 98077-5664
(425) 883-7108
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4610
WA
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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