Madison Park Dental Center
NPI #1831545102 in Rexburg, Idaho
Provider Information
- NPI Number
- 1831545102
- Entity Type
- Organization
- Organization Name
- Madison Park Dental Center
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 5, 2016
- Last Updated
- May 5, 2016
Practice Location
Authorized Official
- Name
- DR. MARK A TALL
- Title
- OWNER
- Phone
- (208) 356-5601
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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