Individual
MARK A DRINKWINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
157 LOPEZ RD., LOPEZ ISLAND, WA 98261
(360) 468-2551
Mailing address
8139 COMOX LOOP, BLAINE, WA 98230-9320
(360) 927-3688
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00005848
WA
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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