Mark Jeffrey Dolson, DDS,PC Valid NPI

Individual provider · General Practice Dentistry · O'Fallon, MO

NPI

1013054170

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

2000157312 (MO)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-01-30

Last updated

2007-07-08