Individual
DR. MARK T MORRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
305 W. 12TH AVE, COLUMBUS, OH 43210-1267
(614) 292-6983
Mailing address
305 W 12TH AVE, COLUMBUS, OH 43210-1267
(614) 292-6983
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15489
OH
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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