Mark A Penshorn, DDS Valid NPI
Individual provider · Dentist · Schertz, TX
- NPI
- 1417394396
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 13376 (TX)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2013-05-31
- Last updated
- 2013-05-31
Practice location
2501 Fm 3009
Schertz, TX 78154-2714
(210) 659-1379