DR. Mark Wayne Wright, MD

NPI #1215006325 in Twin Falls, Idaho

Provider Information

NPI Number
1215006325
Entity Type
Individual
Name
DR. Mark Wayne Wright, MD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
MD
Enumeration Date
Nov 6, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
414 SHOUP AVE W
Address 2
ST. A
State
Idaho
ZIP Code
83301-5042
Phone
(208) 735-1345

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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