Individual
DR. MARK JOHN BUITENWERF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
501 SANFORD ST, DECORAH, IA 52101-2005
(563) 382-2441
Mailing address
501 SANFORD ST, DECORAH, IA 52101-2005
(563) 382-2441
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
05817
IA
Other
Enumeration date
10/19/2007
Last updated
10/19/2007
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