Individual
MARK E VANDUKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5717 E THOMAS RD STE 110, SCOTTSDALE, AZ 85251-7620
(480) 207-5070
Mailing address
653 S BEEBE ST, GILBERT, AZ 85296-0131
(253) 549-8789
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D011921
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2020
Last updated
08/29/2023
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