DR. Mark Robert Birmingham

NPI #1538528641 in Wasilla, Alaska

Provider Information

NPI Number
1538528641
Entity Type
Individual
Name
DR. Mark Robert Birmingham
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Enumeration Date
Feb 17, 2016
Last Updated
Feb 17, 2016

Practice Location

Address
4501 E SNIDER DR
State
Alaska
ZIP Code
99654-7604
Phone
(907) 376-8400

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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