Mark R Addington, DDS Valid NPI
Individual provider · General Practice Dentistry · Texarkana, TX
- NPI
- 1578635157
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 15592 (TX)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-11-15
- Last updated
- 2007-07-08
Practice location
2 Woodmont Crossing
Texarkana, TX 75503
(903) 792-6613