Mark Cushing, DDS

NPI #1760812135 in Caldwell, Idaho

Provider Information

NPI Number: 1760812135
Entity Type: Individual
Name: Mark Cushing, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Nov 20, 2013
Last Updated: Nov 20, 2013

Practice Location

Address: 15753 YODER AVE
City: Caldwell
State: Idaho
ZIP Code: 83607-8313
Phone: (208) 989-9500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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