Individual
DR. MARK I ENSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2516 W 15TH AVE, EMPORIA, KS 66801-6102
(620) 342-8032
(620) 342-5735
Mailing address
PO BOX 1154, EMPORIA, KS 66801-1154
(620) 342-8032
(620) 342-5735
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5429
KS
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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