Individual
MR. MARK R VAN BUSKIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
700 N MAIN ST., CROWN POINT, IN 46307
(219) 663-2567
(219) 663-3340
Mailing address
700 N MAIN ST., CROWN POINT, IN 46307
(219) 663-2567
(219) 663-3340
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008157A
IN
Other
Enumeration date
08/28/2007
Last updated
07/06/2021
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