Mark Miedema, DDS

NPI #1700994571 in Togus, Maine

Provider Information

NPI Number
1700994571
Entity Type
Individual
Name
Mark Miedema, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Aug 29, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
TOGUS VA HOSPITAL
Address 2
1 VA CENTER
City
Togus
State
Maine
ZIP Code
04330
Phone
(207) 623-8411

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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