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Individual

DR. MARK SUART ZARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
120 W MAIN ST, CALEDONIA, MN 55921
(507) 725-5254
(507) 725-5406
Mailing address
120 W MAIN ST, CALEDONIA, MN 55921
(507) 725-5254
(507) 725-5406

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9106
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2911842
IA
Enumeration date
09/30/2006
Last updated
07/08/2007
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