Individual
MARK R SHEILS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1300 GATEWAY DR S, FARGO, ND 58103-3509
(701) 232-6683
Mailing address
1300 GATEWAY DR S, FARGO, ND 58103-3509
(701) 232-6683
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1840
ND
Other
Enumeration date
02/19/2007
Last updated
07/08/2007
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