Mark Jeffrey Dolson DDS,PC

NPI 1013054170 - Dentist - 1223G0001X

NPI Details
NPI 1013054170
Gender Male
Enumeration Date 01/30/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
126 TRIAD WEST DR.
O'FALLON MO, 63366, US
Phone (636) 978-2226
Fax (636) 281-1441
Business Location
126 TRIAD WEST DR.
O'FALLON MO, 63366, US
Phone (636) 978-2226
Fax (636) 281-1441
Toxanomy
Taxonomy Code 1223G0001X
License State Missouri
License Number 2000157312
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According to our database, Dr. Mark Jeffrey Dolson DDS,PC NPI is 1013054170, taxonomy code is 1223G0001X and license number is 2000157312, license state is located at Missouri. Mark Jeffrey Dolson DDS,PC physically located at 126 Triad West Dr., O'fallon MO, 63366. NPI Number Mark Jeffrey Dolson DDS,PC has the Individual type.

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1013054170 NPI number is provided on an as is basis without warranty of any kind. 1013054170 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Jeffrey Dolson DDS,PC are for informational purposes only.