DR. Mark Henry Habermeyer, DDS

NPI #1720095631 in Riverdale, Utah

Provider Information

NPI Number: 1720095631
Entity Type: Individual
Name: DR. Mark Henry Habermeyer, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 2, 2006
Last Updated: Dec 8, 2015

Practice Location

Address: 4115 RIVERDALE RD STE B
City: Riverdale
State: Utah
ZIP Code: 84405-3509
Phone: (801) 940-5555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Dentist - General Practice — General Practice	1223G0001X

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