Individual
DR. MARK ANTHONY MENES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2605 STATE ST, SALEM, OR 97310-1346
(503) 373-1846
Mailing address
2605 STATE ST, SALEM, OR 97310-1346
(503) 373-1846
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7995
OR
Other
Enumeration date
12/22/2009
Last updated
12/22/2009
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