Individual
DR. MARK RICHARD CHURCH
Active
Individual
DR. MARK RICHARD CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8618
KY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
60884792
WA
Other
Enumeration date
06/12/2008
Last updated
12/04/2019
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