Organization
MARK D. MARKHAM, DDS, PLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK DAVID MARKHAM DDS (OWNER)
(712) 243-1833
Entity
Organization
Contact information
Practice address
1501 E 10TH ST, ATLANTIC, IA 50022-1936
(712) 243-1833
(712) 243-7552
Mailing address
1501 E 10TH ST, ATLANTIC, IA 50022-1936
(712) 243-1833
(712) 243-7552
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6473
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1163725
—
IA
Enumeration date
01/28/2008
Last updated
01/30/2008
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