Individual
DR. MARK C. TINDALL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
1133 COLLEGE AVE, BLDG. D, SUITE 200, MANHATTAN, KS 66502-2770
(785) 537-0136
(785) 537-8591
Mailing address
1133 COLLEGE AVE, BLDG. D, SUITE 200, MANHATTAN, KS 66502-2770
(785) 537-0136
(785) 537-8591
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
60128
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60128
DENTAL LICENSE NUMBER
KS
Enumeration date
01/25/2006
Last updated
07/09/2007
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