Mark Douglas Madison D.D.S.

NPI 1013056159 - Dentist - 1223G0001X

NPI Details
NPI 1013056159
Gender Male
Enumeration Date 02/05/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2525 N 8TH ST
SUITTE #109
GRAND JUNCTION CO, 81501-8845, US
Phone (970) 256-9500
Fax
Business Location
2525 N 8TH ST
SUITTE #109
GRAND JUNCTION CO, 81501-8845, US
Phone (970) 256-9500
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Colorado
License Number 6786
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According to our database, Dr. Mark Douglas Madison D.D.S. NPI is 1013056159, taxonomy code is 1223G0001X and license number is 6786, license state is located at Colorado. Mark Douglas Madison D.D.S. physically located at 2525 N 8th St, Grand Junction CO, 81501-8845. NPI Number Mark Douglas Madison D.D.S. has the Individual type.

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1013056159 NPI number is provided on an as is basis without warranty of any kind. 1013056159 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Douglas Madison D.D.S. are for informational purposes only.