Individual
DR. MARK DAVID MACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, DRPH
Contact information
Practice address
650 W BALTIMORE ST, 2207, BALTIMORE, MD 21201
(410) 706-4218
(410) 706-4031
Mailing address
650 W BALTIMORE ST, 2207, BALTIMORE, MD 21201-1510
(410) 706-4218
(410) 706-4031
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019022453
IL
122300000X
Dentist
Primary
15551
MD
Other
Enumeration date
04/08/2011
Last updated
08/27/2018
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