Individual
MARK ROGER VERMILLION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5925 N MAIN ST, SUITE B, DAYTON, OH 45415-3153
(937) 275-2211
(937) 275-4408
Mailing address
5925 N MAIN ST, SUITE B, DAYTON, OH 45415-3153
(937) 275-2211
(937) 275-4408
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18554
OH
Other
Enumeration date
01/01/2007
Last updated
07/08/2007
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