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Individual

MR. MARK A HOBBIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
321 ILLINI DR, CLINTON, IL 61727-9771
(217) 935-5397
(217) 935-4769
Mailing address
321 ILLINI DR, CLINTON, IL 61727-9771
(217) 935-5397
(217) 935-4769

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.030221
IL
1223G0001X
General Practice Dentistry
319.019450
IL

Other

Enumeration date
07/15/2015
Last updated
06/01/2018
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