Individual
MARK PHILIP SWENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2222 NW LINCOLN AVE, CORVALLIS, OR 97330-2503
(541) 754-4017
Mailing address
2222 NW LINCOLN AVE, CORVALLIS, OR 97330-2503
(541) 754-4017
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9063
OR
Other
Enumeration date
12/01/2010
Last updated
12/01/2010
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