Individual
DR. MARK R DRIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1651 NW HUGHWOOD CT, ROSEBURG, OR 97471-8834
(541) 672-8187
(541) 672-0240
Mailing address
1651 NW HUGHWOOD CT, ROSEBURG, OR 97471-8834
(541) 672-8187
(541) 672-0240
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5158
OR
Other
Enumeration date
12/04/2006
Last updated
07/12/2011
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