DR. Mark Alan Scantlan, D.D.S.

NPI #1457575094 in Sullivan, Missouri

Provider Information

NPI Number
1457575094
Entity Type
Individual
Name
DR. Mark Alan Scantlan, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
D.D.S.
Enumeration Date
Apr 13, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
675 DUNSFORD DR
ZIP Code
63080-1267
Phone
(573) 468-2774

Specialties & Taxonomy Codes

Specialty
Dentist

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