Mark D Teigen DDS Ps

NPI #1740560911 in Longview, Washington

Provider Information

NPI Number: 1740560911
Entity Type: Organization
Organization Name: Mark D Teigen DDS Ps
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 19, 2011
Last Updated: Aug 19, 2011

Practice Location

Address: 1105 14TH AVE
City: Longview
State: Washington
ZIP Code: 98632-3016
Phone: (360) 425-8140

Authorized Official

Name: DR. MARK DOUGLAS TEIGEN, DDS
Title: OWNER
Phone: (360) 425-8140

Specialties & Taxonomy Codes

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

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