Mark Sampang, DDS Valid NPI
Individual provider · General Practice Dentistry · Avondale, AZ
- NPI
- 1558499335
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- D7144 (AZ)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-03-01
- Last updated
- 2012-05-22
Practice location
10210 W Mcdowell Rd, Suite #140
Avondale, AZ 85392-4842
(623) 873-0880